Yes, I want to be a part of the Souhegan Watershed Association. I believe that it’s important to restore, preserve and protect the Souhegan watershed. I (We) have enclosed a check for dues of:

• ________ $15 Individual
  
• ________ $25 Family
  
• ________ $100 Business/Corporation
  
• ________ Additional contribution
  
  
• ________ Total (Dues are tax-deductible.)

Name: _________________________________________________

Address: _______________________________________________

                ______________________________________________

               ________________________________________________

Phone: ________________________________________________

Date:

I would like to be involved in ...
(Check any that interest you)

• Canoe trips
• Water quality monitoring
• Fundraising
• River cleanups
• Trails

I would like information about ...

Please return to:

Souhegan Watershed Association
PO Box 1474
Merrimack, NH 03054