Friends of PEEC
Membership Application

Chicadee (Student) ($20)

Barred Owl (Seniors) ($20)

Eastern Phoebe (Individual) ($25)

Tree Swallow ($30)

Cerulean Warbler ($50)

Scarlet Tanger ($100)

Blue Heron ($250)

Red Shouldered Hawk ($500)

Bald Eagle ($1000)

Benefactor ($5000 or more)

Increase your gift to PEEC!
Please ask your employer about matching your contribution.
My check, payable to PEEC, is enclosed.

Bill my: Mastercard Visa
Card #:
Exp. Date:
Signature:

New Member Renewal
Name:
Address:
City, State, Zip:
Daytime Phone:
Mail completed form to:
PEEC
RR2 Box 1010
Dingmans Ferry, PA 18328
All but $10 of your contribution is tax-deductible. Student memberships are not tax-deductible.