Sandycreek Conservancy, Inc. - Membership Application    

688 Polk Cutoff ¨ P.O. Box 454

Franklin, Pennsylvania  16323

 I hereby make application to the Sandycreek Conservancy Inc. as an:

 Adult Member (18 yrs. & over)  $55.00 + $15.00 Initiation Fee …………  Total  $70.00

 (There is a 6 hour work requirement from January to October in which $10.00 will be applied to next year’s dues.)

 Youth Membership  (under 18 yrs.)  $5.00  No Initiation Fee ……………  Total $5.00

 Family Membership  $70.00  + $15.00 Initiation Fee .......................Total $85.00

Note:  Initiation fees are for NEW members only.  Adult and Family members will receive a key to the entrance gate.

    Name:

    Address:

    City:        State:        Zip:

    Email address:

    Key #: _________________________ (Internal use)