TreesAcadiana
P.O. Box 51467
Lafayette, LA 70505-1467
Please print, fill out this form and mail it with your tax-deductible contribution to the address above.
Name(s):
Company/Organization (if applicable):
Address:
City:
State:
Zip:
Home:
Work:
Fax:
Email:
Website:
Application Type (please check one):
New Member |
Renewal
Level of Membeship (please check one):
Student Volunteer
- Free
Pecan
- $50
Individual
- $15
Cypress
- $100
Family
- $25
Magnolia
- $250
Other
- _________
Live Oak
- $500+
Committees of Interest (not limited to one):
Publicity/Publications
Finance/Grants
Legislative
Planting
Special Projects/Fundraisers
Education
Membership/Telephone