D.R.A. Membership Form

Please print this form and mail to DRA, P.O. Box 333, Damariscotta, ME 04543
(a pdf version of this form can be downloaded here)

Count me in! I want to support the Damariscotta River Association’s mission to“preserve and promote the natural, cultural, and historical heritage of the Damariscotta River, its watershed, and adjacent areas for the benefit of all!”

How would you like to be addressed? Mr.  Mrs.  Dr.  Ms.  Miss   First name basis

Name(s): _______________________________________________________

Primary Mailing Address: ___________________________________________

City: _____________________________ State: ________ Zip: ____________

Phone: __________________________

Summer Mailing Address: __________________________________________

City: _____________________________ State: ________ Zip: ___________

Phone: __________________________

e-mail address: _________________________________

Please indicate the dates you would like to receive mail at your summer address:

__________________________ through __________________________

Would you like to receive information about volunteer opportunities? Yes__ No__

Questions: (207) 563-1393                                                  7/1/2008