Elk River Watershed
Improvement Association

Everyone is part of the problem . . .

Join ERWIA

And be part of the solution!!

__Yes, I want to be a member of the Elk River Watershed Improvement Association to join other dedicated individuals and organizations to improve and protect the water quality of the Elk River watershed.

Enclosed is my contribution:

Individual Must live, work, go to school or own property in the Elk River watershed

__$5 Regular / 18-years of age. May vote and hold office and committee positions

__$2 Student under 18-years

Organizational Non-voting, yet receives newsletters (mailed to two addresses). All donations accepted and are tax deductible

__$100 / For non-profit organizations or small businesses

__$250 (or specify for larger amounts: $_____________) for corporations

__Check the box at left if this is an address change.

(Please print)

Name: ______________________________

Address: _____________________________

City: _____________ State: ___ Zip: _______

Phone: _______________________________

Email: _______________________________

Join the Elk River Watershed Improvement Association today!

Please print this form, complete the above information and mail along with your tax deductible contribution to:

ERWIA
P.O. Box 6
Pineville, MO 64856