Quinnipiac River Watershed Association
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Contribute Form


Please tell us about yourself: (* denotes required fields)

First Name *
Last Name *
State Zip
Phone *
Email *

Please select the membership level(s) / donation allocations you will be making:
(Select all that apply. You will be asked to calculate your total donation for PayPal on the next screen.)

Family Membership ($30) Saw-Whet Owl Corporate Membership ($100)
Individual Membership ($20) Wood Turtle Corporate Membership ($250)
Student Membership ($15) Wood Duck Corporate Membership ($500)
Senior Membership ($15) Kingfisher Corporate Membership ($750)
Wood Duck Member ($50-$99) Great Blue Heron Corporate Membership ($2,500)
Kingfisher Member ($100-$249) Osprey Corporate Membership ($5,000)
Turtle Member ($250-$499) Bald Eagle Corporate Membership ($7,500)
Osprey Member ($500-$999)
Life Member ($1000+) Fish Stocking for Annual Fishing Derby (any amount)
QRWA Building Fund Donation (any amount)
Plants for Bee and Butterfly Garden

Additional Comments:

(please use this area to identify any other level of contribution and/or membership you plan to make online via PayPal.)
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