Membership Form

Required fields are marked with an asterisk (*)
GENERAL INFO
Membership Type *: New Member
Renewal
Categories Type *: $35 Individual
$50 Family*
$100 Friend**
$250 Supporter***
$500 Patron***
Other Amount $

MEMBERSHIP INFO
Name *:
Mailing Address *:
City / Town *:
State *:
Zip *:
Phone: *
Email *:

ADDITIONAL
Thank You Gifts: *Memberships of $50 or more receive:
"Living Treasures: The Plants and Animals of Long Island Sound"

**Memberships of $100 or more also choose a Peterson First Guide:
Astronomy
Clouds & Weather
Seashores
Birds
Mammals
Shells
Butterflies & Moths
Reptiles & Amphibians
Trees
Caterpillars
Rocks & Minerals

***Memberships of $250 or more also receive a full color, 36" x 24" poster of a painting by Sag Harbor nature artist, Vito DeVito:
"Tundra Swans at Jessup's Neck"

Email Reminders: I would like to be reminded by E-mail for nature walks and programs for/about:
Children
Birds
Mammals
Marine Life
Reptiles & Amphibians
Plants & Fungi
Insects

COMPLETE YOUR PAYMENT WITH PAYPAL
When you are ready, click on this button to preview your order.





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