MEMBERSHIP FORM
(please print out and send to the address below)

Yes, I am interested in learning more about our environment and would like to become a member of Fingerlakes Citizens for the Environment. I would also like to receive your bi-monthly newsletter. I enclose payment of $10.00 for a one-year membership.

Please print clearly

Name _____________________________________________________________
 

Address ___________________________________________________________
 

City _______________________________________State_______ Zip _________
 

Phone (        ) __________________________ Email: _______________________

Please send payment and this form to:

FingerLakes Citizens for the Environment
P. O Box 295
Waterloo, NY  13165