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MEMBERSHIP 
REGISTRATION &
CONTRIBUTION FORM


Please print this form, complete it and send in with your contribution.

Yes! I would like to become a member! 

First Name:_______________________________________
Last Name: _______________________________________
Address:_________________________________________
Address:_________________________________________
City:  ___________________________________________
State / Zip________________________________________
   
My contribution is enclosed in the amount of:
  • Family               $20
  • River Keeper    $50
  • River Saver      $100
  • Other $___________
  • Legal Defense Fund $_____________
Please make checks payable to:
STR-STH, Inc.

and mail to:
    Save the River-Save the Hills, Inc.
    P.O. Box 505
    Waterford, CT 06385

Your support is deeply appreciated. Thank you!

STR-STH, Inc. (Save The River-Save The Hills, Inc.) is a 501(c)(3) non-profit organization. All contributions are tax deductible.

(860) 442-8349 •
info@savetheriver-savethehills.org
Become a Member!
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© 2014 SAVE THE RIVER - SAVE THE HILLS, INC. All rights reserved.
PO Box 505 • Waterford, CT 06385 • Tel: (860) 442-8349

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Save the River - Save the Hills