Quinnipiac River Watershed Association
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Contribute Form

 This page may be used to pay for tickets to our events and to pre register for our annual canoe and kayak race. You may use the "comment" section to enter the event or specific donation. Be sure to print a copy of your Pay Pal receipt and bring it with you to the event.


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

Organization
First Name *
Last Name *
Address
Suite
City
State Zip
Phone *
Fax
Website
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.)
Enter the code shown above
More Info