Membership Form

Willimantic Whitewater Partnership
2009 Membership Form
www.willimanticwhitewater.org
 
 
Name ______________________________
Address _____________________________
City _____________ State ______ Zip _________
Email ___________________________________
Phone _____________________
 
 
Join One of Our Committees!
_____ River Restoration – Fish, Wildlife, Habitats
_____ Park Design and Development – Bridge Street
_____ Trails – Biking, Hiking and Riding
_____ Economic Development – revitalization, rehabilitation
_____ Recreation - In-River Whitewater Park; Fishing; Boating
_____ History – The River and the Region
 
Annual Membership Dues
(includes: Newsletter and WWP Sticker)
 
_____ $10 Student or Limited Income  (*New!!)
_____ $25 Individual
_____ $50 Family
_____ $100 Nonprofit Organizations
_____ $250 Corporate
 
Donations Welcome!
_____ $500 Friend of WWP Class 3 Support
_____ $1000 WWP Sponsor Class 4 Support
_____ $2500 Leadership Circle Class 5 Support
 
Purchases
Stickers $2 x # _______ = _______ Total
T-Shirts* $20 x # ______ = _______Total   (*Tshirts must be picked up at the WWP office.)
 
 
 
Total Donation $_________
 
Please make checks payable to:
Willimantic Whitewater Partnership 
 
 
Please email questions to: 
willimanticwhitewater@charter.net
 
Please print and mail your completed membership application and membership fee to:
Willimantic Whitewater Partnership
41 High Street
Willimantic, CT 06226