Friends of Baxter State Park
PO Box 1442, Bangor, ME 04402-1442
FRIENDS OF BAXTER STATE PARK
GIFT MEMBERSHIP FORM
Someday we hope to offer on-line gift memberships and electronic payment.  Until then, please print out and mail this form with your payment.


I would like to give a membership in Friends of Baxter State Park to:

Name__________________________________________________

Address________________________________________________

City_______________________  State___________  Zip________

Phone_________________________________________________

e-mail_________________________________________________


        
Please check membership level:

        _____  $1,000 Gov. Baxter Society (and receive a framed, signed, and numbered watercolor print Katahdin From Near Foster Field)

        _____     $500 Katahdin Club (and receive a matted, signed, and numbered watercolor print Katahdin From Near Foster Field)
        
        _____     $250 Knife Edger (and receive an unsigned watercolor print Katahdin From Near Foster Field)

        _____     $100 Hamlin Peaker (and receive a large photograph Katahdin Under Lenticular Cloud)

        ______       $50 Sponsor (and receive a set of note cards)

        ______       $30 Family (and receive a Baxter State Park postcard)

        ______       $25 Individual (and receive a Baxter State Park postcard)


Please send membership packet to the person listed above and send acknowledgement of this gift to me at:


Name__________________________________________________

Address________________________________________________

City_______________________  State___________  Zip________

Phone_________________________________________________

e-mail_________________________________________________


Make check payable to: Friends of Baxter State Park

Send to:                Friends of Baxter State Park
                        P.O. Box 1442
                        Bangor, ME   04402-1442


Membership contributions are tax deductible to the extent provided by law.