Yes! I want to become an EarthTeach Member!

Please print clearly:
Name________________________________________________________________

Mailing Address________________________________________________________

City__________________________________ State_________ Zip______________

Phone________________________________________________________________

E-Mail________________________________________________________________

This membership is pledged for (Name of individual, family, or organization)
In Memory / or in Honor of_______________________________________________

Annual Membership: (Check one)
ο Dragonfly: up to $49
ο Flicker: $50-$99
ο Coyote: $100-199
ο Sugar Pine: $200 -$499
ο Challenge Adventurers: $500-$999
ο Adopt an Acre: $1000 per acre

Membership Amount: __________________

I believe in
Kids In Nature! (I would like to give additional $ to the Way Foundation's KIN ship Scholarship Fund)

Additional Gift Donation: _______________

Total Amount Enclosed: ________________

To pay by credit card, please download a PDF donation form (see "Pledge Form 2008" in sidebar to left) and send to the address below:


Your contribution is tax-deductible as allowable by law. Membership privileges are not transferable and do not include special programs or visits with school groups. The Way Foundation’s Tax I.D. #93-1198272

Please make checks payable to The Way Foundation & return to:
EarthTeach Membership
c/o 76 Dewey Street
Ashland, OR 97520

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(Remove top section and return in enclosed envelope)


Benefits for ALL EarthTeach Forest Park Members:
Unlimited Year-round “free trespass”
Seasonal overnight camping privledges *
*
One week call ahead/ permission required.
Invitation to a Private Bonfire Event


For more information about EarthTeach Forest Park & The Way Foundation, please visit our websiteat www.earthteach.org contact us at info@earthteach.org or call our office at (541) 482-4572

ETFP Pledge Form 2008