Membership Information:
Join the Friends of the Conservancy

Membership benefits include: Volunteer opportunities in wetland and watershed stewardship. "Friends of the Conservancy " membership certificate. Subscription to the Independence Conservancy newsletter. Discounts on merchandise and admission to special events. To become a Friend of the Independence Conservancy, please complete the form below, print it, and mail with your check or money order to: Independence Conservancy, Inc. P.O. Box 248 Industry, PA 15052-0248 (For best print results, use landscape orientation and print only page 2.)

Winter at Raccoon Creek.

Membership Form

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Name:
Address:
City:
State:
Zip Code:
Phone:
E-mail:
Please check the category you prefer:
	Benefactor $1,000
	Business/Corporate Sponsorship $500
	Patron $100
	Family $30
	Individual $20
	School .50 per capita for School District, Building, or Classroom
	I do not wish to become a Friend of the Conservancy at this time, but please accept my donation.

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Contributions to the Independence Conservancy are
deductible for federal income tax purposes.

Registration information is available from the
PA Dept. of State, Corporations Bureau at 1-800-732-0999.

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