Name______________________   Phone_________________

Address____________________________________________

City, State, Zip_______________________________________

Type of Membership

___ Individual $20 - $34          ___ Family $35 - $50           
___ Patron $100 - $199            ___ Sustaining $200 - $249  
___ Corporate $250 - $499      ___ Advocate $500 and up

 
Mail check and completed form to: Friends of the Parks, P.O. Box 104
Coshocton, Ohio 43812. Thanks for your support!