Membership Form

Appoquinimink River Association Memberships

Level of Membership:	Turtle	Bass	Otter	Heron	Other Amount
Amount:	$25-49	$50-99	$100-499	$500+	$
Select Level:	Turtle Member	Bass Member	Otter Member	Heron Member	Other

Yes, I want to help preserve and protect my river!

Enclosed is my donation to the Appoquinimink River Association in the amount of: $

Please make checks payable to the Appoquinimink River Association.
To pay by credit card go to www.apporiver.org and click on the "Make a donation" button.

Your donation is tax deductible.

Name of Member:

Address:

Phone:

E-mail:

Send this membership sheet along with your tax deductible donation to:

Appoquinimink River Association
P.O. box 341
Middletown, DE 1970

Thank you for becoming a member to help preserve, protect, and enhance the rivers and related natural resources of the Appoquinimink region!