Membership Form

Membership Form for printing out and mailing:

This organization relies on contributions in order to support its activities. The first $15 dollars of any contribution goes toward your annual calendar year membership (Oct/Nov/Dec payments are applied to the next years membership).

$15_________ $25_________ p $50_________ p $100__________ p Other $___________

Mail To:

Friends of the Cacapon River

P O Box 321

Great Cacapon, WV 25422

We Thank You

West Virginia residents may obtain a summary of the FCR registration and financial documents from the Secretary of State, State Capitol, Charleston, West Virginia 25305. Registration does not imply endorsement.

Date________________________________

Name___________________________________

Address_____________________________ Where is your place near the Cacapon? (Address or landmarks)

____________________________________ _________________________________________________

City/State/Zip_____________________________

† I would like to be an active member

† Please send copies of the Cacapon River Maps

† Please send a Waterfront Homeowners packet (see our web site)

† Cacapon River license plate - $20

† CD “2001 Cabin Party: Live on the Cacapon River” featuring the Cacaphonics - $15 or more, (Proceeds go to the FCR & Paw Paw High School Band Boosters)

† I do not have Internet access, please send a copy of newsletter.

†

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