| First
Name |
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| Last
Name |
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| Company |
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| Address |
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| City |
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| State |
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| Zip
Code |
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| E-mail |
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| Home
Phone |
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| Work
Phone |
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| Fax |
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| Occupation |
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| Please
check one of the following: |
| ___
$ 30.00 Guide (individual) |
___
$ 45.00 Navigator (family) |
| ___
$ 75.00 Landmark (business) |
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$ 100.00 Refuge (supporting) |
| ___
$ 500.00 Conservation (sustaining) |
___
Open/Memorial |
| Indicate
Open/Memorial $ ____________ |
|
| ___ |
Yes,
I would like to be a CURE volunteer! |
| ___ |
Please
send me a complimentary Newsletter
(if interested, I will join later) |
| ___ |
I
do not want my name listed for
recognition in River Currents. |
|
CURE is a 501(c)(3) non-profit organization.
The above
dollars are US Currency only. Please print out this form
and mail with your check or money order payable to CURE.
Mail to:
CURE, 114 South 1st Street West, Montevideo, MN 56265
Your
privacy is important! Any information you give to CURE
will be held with the utmost care, and will not be used
in ways that you have not consented to. Any and all
information collected at this site will be kept strictly
confidential and will not be sold, rented, loaned, or
otherwise disclosed.
Thank
you for your support! We look forward to working with
you!
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CURE - Clean Up
the River Environment
www.curemnriver.org
114 South 1st Street West
Montevideo, MN 56265
Phone: 320-269-2984 Fax: 320-269-5624
Toll-Free: 877-269-2873
Email CUREcommunications@info-link.net
Copyright ©
2001-2005, CURE, All Rights Reserved
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