If you would like to become a member or the Four Township Water Resource Council or renew your membership, please print and mail this form.

__ Yes! I would like to join the Four Township Water Resources Council.
__ I am already a member and would like to renew my membership

Name _____________________________________________________

Email address ____________________________________________________

Address ___________________________________________________

City __________________  State _____  Zip ________________

Membership Categories

___ $25            Regular
___ $26-$99      Contributing
___ $100-$499   Sustaining
___ $500-$999   Benefactor
___ $1000 +      Patron
___ Gift/donation  $____________________

Please make checks payable to:

Four Township Water Resources Council
P.O. Box 634
Richland, MI  49083-0634