Membership

 

Florida Keys Reef Lights Foundation, Inc.

www.ReefLights.org

membership@ReefLights.org

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MEMBERSHIP APPLICATION FORM

NOTE: The membership year is January 1 to December 31.

First year Individual and Family memberships may be prorated per month.

Membership Levels & Dues

    (check box) (annual)  (3 years)

Individual:  □ $12  □ $30

Family:  □ $24  □ $60

Corporate:  □ $50

Supporting:  □ $100 or more

If a Family Membership: How many total are in your immediate family, including yourself, spouse, and children under age 18: _________

Please enroll me (us) as a member of the Florida Keys Reef Lights Foundation.

Name (title)_________________________________________________________________

Street Address______________________________________________________________

City_______________________________State__________________Zip_______________

Home Phone _____________________________  Email ___________________________

Cell Phone _______________________________ Fax _____________________________

Business Phone ___________________________ Website__________________________

Enclosed for membership:    $____________________

Contribution for Reef Light preservation:  $____________________

Total of check enclosed:    $____________________

*

Make check payable to FKRLF and send to: Reef Lights

      Membership

      P.O. Box 504442

      Marathon, FL 33050

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