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Join the Tatnuck Brook Watershed Association!

June 28, 2011

Only you can protect the natural beauty we enjoy in our local
watershed. It’s fun to work together, and we would like your help. If
you join the TBWA, together we can do more than we could otherwise do.

For annual membership: Please print this page, write a check payable to
TBWA and send it to TBWA, 4 Columbus Street, Worcester, MA 01603.

You will receive notification of your membership as soon as we receive this form

Yes!!, I would like to become a 2005 member of the


Name ______________________________ Phone (         ) ____________________

Address _________________________ __________


City or Town________ ____________________State___ __Zip__

Amount enclosed ____________

Senior citizen/student $5.00
Individual $10.00
Family $15.00
Sustaining or organization $50.00
Benefactor $100.00
Patron $1000.00

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