Mill Cove Conservancy

Mill Cove Conservancy is a completely voluntary organization. Your yearly dues and contributions make our work possible. Dues are ONLY $25 per individual—$45 per family. Become a Member of MCC at the Family level, and as a gratuity receive a copy of the CD Presentation: “Conimicut, Conimicut Pt & Mill Cove: A History in Pictures”. Make your tax deductible check payable to Mill Cove Conservancy. Mail to Leslie Derrig, MCC Treasurer, 84 Dundas Avenue, Warwick RI 02889. Please use this form:

Dear Mill Cove Conservancy:

Yes, I/we are interested in supporting the efforts of Mill Cove Conservancy. Please find enclosed my tax-deductible contribution:

Individual 2012 Dues* - $25 Family 2012 Dues* - $45 $_________

Additional Tax Deductible Contribution $10 $20 $50 Other $_________

TOTAL TAX DEDUCTIBLE CHECK ENCLOSED $_________

* To be a voting member requires agreement with the MCC Statement of Purpose and payment of dues.

Name(s):             _________________________________________________________
Address:              _________________________________________________________
City, State ZIP:    _________________________________________________________
Phone:                 _________________________________________________________
Email :                 _________________________________________________________
(we do not make your information available to others)


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