the NEWPORT WILDERNESS SOCIETY, inc.
P O Box
187, Ellison Bay, WI 54210
Please copy and send the form below when you use regular mail.
Please send same information by email to Treasurer when you use PayPal.
I am: ___a new
member ___renewing my membership ___a life member
___making a donation ___changing my address
Membership
level: ___individual
$20
___family $30 ___business/organization $50
___life
single $250 ___life
couple $500
Making a
Donation: $ ________ for the Endowment Fund $
________ for Park Programs
Date:
_____________
Name: _____________________________________________________________
e-mail
Address:______________________________________________________
Main Mailing
Address:
street:
_____________________________________________________________
street:
_____________________________________________________________
city: ___________________________________
state: _____ zip: __________
Second Mailing Address from dates of _______________to______________
street: _____________________________________________________________
street: _____________________________________________________________
city: ___________________________________ state: _____ zip: __________
Door County Landline Phone: ______________________________
Cell phone: _____________________________________________
___ I want to save money by receiving the Trillium Newsletter and other mailings
via e-mail
___ I would like to support NWS activities in the Park by volunteering to:
___help
on work days ___lead
nature hikes ___lead
cultural history hikes
___serve as a Nature Center docent
Please make your check out to the Newport Wilderness
Soc. OR pay by credit card via PayPal [buttons below].
the Newport Wilderness
Society, inc is the Official Friends Group for Newport State Park and is
a 501[c][3] non-profit, tax exempt educational organization. Dues and donations are tax deductible within the limits of the law. NWS membership year runs from 1st July through the following Jume.