Membership Application
- Print and mail with check


Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

Choose one of the following Membership options:

General ($50)
Supporting ($75)
Contributing ($100)
Small Business ($350)
Corporate ($500)
Trustee ($1000)

 Send checks to:

Operation Green Leaves
PO Box 5254, Coral Gables, Florida 33114

To pay online, click here: Credit Card (MC/Visa/Discovery)

Can you donate a specific amount on a regular basis? If so, let us me know how much and whether it's monthly or quarterly.

Thank you...

Nadine: nadine44@netscape.com

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Copyright © 2008 [Operation Green Leaves]. All rights reserved.
Revised: 07/04/08