Oregon Ridge Nature Center & Park Council

Membership Form

Please print this page, complete and mail to ORNC at the address below.
Please remember to enclose your check for the appropriate amount.

Name:	__________________________________________________
Address:	__________________________________________________
Phone:	__________________________________________________
eMail:	__________________________________________________

Select type of membership below:
 

__ Lifetime $150	__ Individual $15
__ Patron $100	__ Family $20
__ Corporate $100	___ no. of adults
__ Sustaining $50	___ no. of children under 17 yrs
__ Non-profit org. $25	__ Senior Citizen $12
	__ Student $12

__ Additional donation $_____________

Total amount enclosed $_____________

Make checks payable to:

Oregon Ridge Nature Center & Park Council

Mail check and completed form to:

Oregon Ridge Nature Center & Park Council
13555 Beaver Dam Road
Cockeysville, MD 21030

Thank you for your continued support!