Forked River Mountain Registration Form
(please print out, detach this portion and mail to the address below)

[ ] I will attend the Field Day on March 9, 2002. Number attending __________.

[ ] I will attend the Cleanup on April 21, 2002. Number attending __________.

[ ] I will attend the Hike after the Cleanup. Number attending __________.

[ ] I want to do more, enclosed is my contribution of $__________.

(A contribution of $15 will entitle you to a one year membership in the Coalition)

Name __________________________________________________________________

Address ________________________________________________________________

_______________________________________________________________________

Day Phone (_____)____________________Eve Phone (______) ___________________

Please make checks payable to: Forked River Mountain Coalition

and mail to: P.O. Box 219, Forked River, NJ 08731