PRINT AND MAIL COMPLETED FORM TO:
Charlotte's Quest Nature Center
Manchester Parks Foundation
Attention: Membership
PO Box 864
3400 Wilhelm Lane
Manchester, MD 21102
Enclosed is my check for $______ (payable to Manchester Parks Foundation)
for________________________ (type) Membership.
_____ I am a new member.
_____ I am a renewing member.
_____ I am interested in volunteering my services at Charlotte's Quest Nature Center.
Name_________________________________________________________
Address______________________________________________________
City_________________________________ State______ Zip________
Phone________________________________
Email________________________________________________
Office Use Only
Received_______________________________ Check #_____________________
Dues Amt. Rec._________________________ New Renewal Date____________
Donation Included Y N Total Amount Received_________