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BACK BAY RESTORATION FOUNDATION Name: Mr. Mrs. __________________________________________________________ Address:____________________________________________________________________ City:________________________________ State:___________ Zip Code:_______________ Phone Number: _______________ Fax Number:_____________ E-Mail:________________ Membership Type: please circle one General Membership: TEAL $25.00 annual dues Sponsors: WIDGEON: $100.00 annual dues SWAN: $250.00 annual dues OSPREY: $500.00 annual dues EAGLE: $1000.00 annual dues Other Donation: ______________ Total Amount Enclosed:_________________ Please make all checks payable to the Back Bay Restoration Foundation. To begin receiving your bimonthly newsletter and notice of BBRF events, print and send this application and your tax deductible contribution to the address below: Back Bay Restoration Foundation
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| ©Back Bay Restoration Foundation, 1999-2008. All rights reserved. The Back Bay Restoration Foundation is a charitable 501(c)(3) tax exempt organization. Call BBRF at 757-721-7666 or send us an email to: BBRF at INFIONLINE.NET for more information. |