Forked River Mountain Registration Form
(please print this form and mail to the address below)

I will attend the Annual Cleanup on April 19, 2020 Number attending _____.

I will attend the hike after the cleanup. Number attending _____.

I have a four-wheel drive:  truck  sport utility (check one)

I want to do more, enclosed is my contribution of $__________.
(*Suggested donation. A contribution of $20 (individual) or $35 (family) will entitle you to a one year membership in the Coalition)

Name __________________________________________________________________

Address ________________________________________________________________

_______________________________________________________________________

Day Phone (_____)____________________Eve Phone (______) ___________________

E-mail Address ___________________________________________________________

Please make checks payable to: Forked River Mountain Coalition
and mail to: P.O. Box 219, Forked River, NJ 08731

All contributions are tax-deductible.    Thank You!