Name:__________________________________________________________________________________
Organization:___________________________________________________________________________
Address:_______________________________________________Phone:__________________________
City:__________________________ State:________ Zip:_________
Email:_______________________
Would you like receive our
newsletter? YES or NO (please
circle one)
Membership Level: (please circle one)
- Waterbody Level.................$100.00
- Santee River........................$50.00
- Lake Moultrie.......................$50.00
- Lake Marion.........................$50.00
- Creek..................................$25.00
Name:____________________
- Pond.................................. $10.00
Name:____________________
-
Other...................................$___________________________________
Please print, complete, and mail this application and the
appropriate membership fee to:
Santee Riverkeeper Alliance
3524 Princess Pond Road
Summerton, SC 29148
Your donation is Tax-Deductible under the IRS guidelines
as defined in IRS 501(c)(3) regulation.
Thanks for supporting the Santee RIVERKEEPER®
Alliance!!!
