MEMBERSHIP FORM

Please print this form and mail or fax to Scenic Michigan or simply call 231-347-1171 to sign up today!

Count me in! I want to help protect natural beauty and distinctive community character in Michigan. Enclosed is my tax deductible one-year membership contribution:

(check amount):

INDIVIDUAL MEMBERSHIP

______$50 Contributor             ______$500 Landscape Guardian

______$100 Donor                  ______$1,000 Scenic Michiganian

______Other Amount $_______________________

ORGANIZATIONAL MEMBERSHIP

______$25 Michigan Garden Club member initial membership

Name of Club ___________________________________________

______$50 Local or state government organization

NAME:____________________________________________________________

ORGANIZATION:___________________________________________________

ADDRESS:_________________________________________________________

CITY:_____________________________________________________________

STATE:_________ZIP:______________E-MAIL__________________________

HOME TELEPHONE:________________________FAX:________________________

Please print form and mail or fax to:

Scenic Michigan                                                                                                            445 E. Mitchell Street                                                                                              Petosky, MI 49770

Telephone: (231)347-1171 Fax: (231) 347-1185