Tri-City Ecology Center Membership Application

[  ] I would like to join the Tri-City Ecology Center (TCEC) and receive 10 issues of the newsletter, Eco-Logic. Enclosed is my membership fee.

Please check one of the following categories and mail this form, along with your tax-deductible check (payable to Tri-City Ecology Center) to:

Tri-City Ecology Center
P.O. Box 674
Fremont CA 94537

Membership Category

[   ] $100+

Bald Eagle

Benefactor

[   ] $50

Peregrine Falcon

Patron

[   ] $25

Salt Marsh Harvest Mouse

Sponsor

[   ] $15

Burrowing Owl

Member

[   ] Extra Donation ________

    
     

Name:

 
   

Address:

  
   

City, State, Zip

  
   

Phone:

  
   

E-mail:

  
   

Date:

  

[   ] I would like to volunteer for the environment. Please call (510) 793-6222.

* The Tri-City Ecology Center is a 501 (c) 3 non-profit organization. All contributions are tax-deductible.