To become a member, complete this form and enclose your membership dues. Please fill it out exactly as you wish it to appear in our records. Memberships are tax deductible under section 501(c)(3) of the IRS tax code.
The renewal period for all memberships is February 1st.
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SALUTATION FIRST NAME LAST NAME EMPLOYER
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SALUTATION SPOUSE FIRST NAME SPOUSE LAST NAME EMPLOYER
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STREET CITY STATE ZIP CODE
EVENING PHONE # DAY PHONE #
Youth Memberís Name: 1.______________ 2.______________ 3.______________
_____ I am enclosing $5 for First Class mailing of all correspondence. Recommended for non-Bristol residents to ensure prompt delivery of program information.
1. Entitles member to free admission to Barnes Nature Center public open hours.
2. Lending privileges at The Sylvester Nature Library located at Barnes Nature Center
3. Entitles member to participate in Indian Rock Summer Camp.
4. Family level and above members receive birthday party discount.
5. Convenient e-mail notification of events and classes.
501 Wolcott Rd.
Bristol, CT 06010
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