Pomperaug Watershed Coalition

The Pomperaug River
Watershed Coalition Inc.
P.O. Box 141
Southbury, CT 06488

Phone: 203.267.1700
Ed Edelson, Exec. Dir.
Donna Lesch, Outreach
Patti Doyle, Admin. Mgr.

Pomperaug River Watershed Coalition Membership Form
Please join us in keeping our water pure and plentiful

As a member you will:

Receive quarterly newsletters
Receive early notifications of special watershed events such as educational programs, workshops, picnics and hikes
Help protect our precious water resources!

Membership Levels: Please select one
Individual	$35+
Family/Friend	$50+
Stream Steward (suggested minimum donation for businesses & associations)	$100+
Stream Guardian	$250+
Stream Protector	$500+
River Steward	$1,000+
River Protector	$5,000+
Watershed Protector	$10,000+

Name:
Address:
City:	State:	Zip Code:
Phone	Email:
Check Enclosed (Payable to PWRC)
Charge my credit card
Card Number:	Expiration Date:
Signature:_________________________________________
Please mail to: Pomperaug River Watershed Coalition · PO Box 141 · Southbury, CT 06488-0141 www.pomperaug.org · 203-267-1700

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