Membership Application

Print out this form and mail completed application and check to:

Friends of Congaree Swamp,
PO Box 7746, Columbia, SC 29202

Friends of Congaree Swamp is a nonprofit, 501(C)(3), corporation under the laws of South Carolina, EIN: 56-2057087.

INDIVIDUALS & FAMILIES:

  • $15-34 Individual
  • $35-49 Family
  • $50-99 Advocate
  • $100-499 Partner
  • $500-999 Benefactor
  • $1,000 Patron

ORGANIZATIONS, BUSINESSES & CORPORATIONS:

  • $50 Non-Profit Org.
  • $1000 Corporate

Information

Name
______________________________________________________________________

Address
______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Home Phone
______________________________________________________________________

Work Phone
______________________________________________________________________

Fax
______________________________________________________________________

E-Mail Address
______________________________________________________________________


Amount Enclosed
______________________________________________________________________

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Last modified: May 11, 2008 by Edward Kujawski (ed@kujawski.org)
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