Become a Member of SVCA

YES! I'd like to help preserve and protect the Sheepscot River!

--------Please Print this Form and send to--------
Sheepscot Valley Conservation Association
624 Sheepscot Road, Newcastle, Maine 04553

Members receive SVCA's newsletter "The Sheepscot Log" published 3 times a year, a window decal and news of special events including invitations to our annual meeting and holiday party and summer member barbecue.

____	Member	Any contribution earns membership
____	Contributor	$40
____	Supporter	$50
____	Protector	$75
____	Defender	$100
____	Preserver	$250
____	Conservator	$500
____	Sheepscot Trust	$1,000

NAME_______________________________________________________________

ADDRESS_______________________________CITY________________________

STATE________ZIP CODE_________________PHONE______________________

E-MAIL ADDRESS____________________________________________________

___ My check is enclosed.

___Please charge to my Mastercard/Visa Credit Card:

CARD #_________________________________EXP DATE_____________________

NAME ON CARD_______________________________________________________

SIGNATURE___________________________________________________________