Sustaining Membership Application

Thank you for sustaining Stokes Nature Center with your monthly contribution.

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Monthly Deduction

Please deduct ___________ from my checking account at the beginning of each month.

Bird Call e-newsletter

YES, please add my email to the e-newsletter mailing list. The Bird Call is sent out monthly with upcoming program details and important announcements about opportunities or developments at Stokes Nature Center. I can easily unsubscribe at any time.

Send a voided check to:

Stokes Nature Center
Attn: Sustaining Membership
P.O. Box 4204
Logan, UT 84323