To become a member of Friends of Six Mile Cypress Slough Preserve, please print and complete this form (be sure to print legibly) and send it with your membership contribution to: 

Friends of Six Mile Cypress Slough Preserve
7791 Penzance Blvd.

Fort Myers, Florida 33966

                                                                                                                                             

                                                                                               

Name ___________________________________________________

Address _________________________________________________

City___________________________________________

State __________ Zip Code ________________

Phone __________________

E-mail _____________________________________

Membership Level (check one)
___ Student ($10)
___ Individual ($20)
___ Contributing ($50)
___ Supporting ($100)
___ Associate ($500)
___Corporate Sponsor ($500)
___ Patron ($1,000)

Areas of Interest (check all that apply)
___ Education
___ Fundraising
___ Membership
___ Preserve Advocacy
___ Projects
___ Publicity
___ Special Events

___ Friends Corner (Book Store)