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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