FOTMWC Membership Form
Type: New Renewal    
Date:
Name:
Address:
City/State/Zip
E-mail:
Phone:
Membership Level:
$15 Individual $5 Youth (12 and under)  
$10 Student $10 Senior (62 and over)  
$25 Family
Sponsorship Level:
$50 Cerulean Warbler $75 Sandhill Crane  
$100 Bluebird $200 Wood Duck  
$500 Bald Eagle      
Additional Donations (tax deductible):
Montezuma Audubon Center Habitat Restoration  
Wildflower/Grassland Seeding Other (please specify)  
Would you like to help with volunteer projects? Please check off any and all of interest:
Visitor Center Staff Programs  
The Lodge (the gift shop) Newsletter  
Website Other (please specify)  
Your membership dues will be used to assist and promote wildlife management, habitat restoration, conservation education and public use within the Montezuma Wetlands Complex.
Members receive a 10% discount on merchandise purchased in the Lodge, our nature themed store.
Please print this page and mail it with your check to:
Friends of the Montezuma Wetlands Complex, Inc.
c/o Montezuma NWR
3395 Routes 5/20 East
Seneca Falls, New York 13148

Thank you for your support!