Complete and mail this form to: Demarest Nature Center 
					PO Box 41 
					Demarest, NJ 07627


	I am interested in becoming a member of the Demarest Nature Center
	at the following level:
	
	__ Individual......$15
	__ Family..........$20
	__ Friend..........$35
	__ Sustaining......$50
	__ Patron..........$100 or more

	I have enclosed a check made payable to: The Demarest Nature Center

	Name:..............................................................

	Address:...........................................................
	
	City:.............................. State:........... Zip..........
	
	Phone:.............................

	e-mail:..............................................

	__ I am interested in helping out at events.

	Comments: