Friends of Iroquois National Wildlife Refuge, Inc. needs your support!

To become a member, provide a gift membership, or be a sponsor, please print this web page, (or download this form) enter all requested information, and send via mail to:

Friends of Iroquois National Wildlife Refuge
1101 Casey Road
Basom, New York 14013
(585)-948-5445

Membership Levels Please place a check mark next to your desired membership level.   Double Eagle $1,000 Bald Eagle $500 Heron $200 Bluebird $100 Red Fox $75 Raccoon $50 Family $25 Individual $15 Business Sponsor $50 minimum   Total enclosed: $__________	Personal Information Please fill out all fields. Name: ____________________________________   Address: __________________________________ __________________________________________   Phone: ___________________________________   e-mail: ___________________________________   Date: _____________
Gift membership for: (see below) Name: _______________________________________ Membership level: _________________________ Address: _____________________________________ _____________________________________________   Phone: ______________________________________	Volunteer Interest I am interested in volunteering, please contact me by: phone e-mail. Make checks payable to: The Friends of Iroquois National Wildlife Refuge, Inc.