THIS IS NOT A SECURE SITE – MEMBERSHIP FORM MUST BE SENT TO THE NPC VIA US MAIL OR FAX

Mail to: The Native Plant Center at the WCC Foundation, Hartford Hall, 75 Grasslands Road, Valhalla, NY 10595
Fax: (914) 606-6143

I wish to join The Native Plant Center as a

_____ $30 Friend

_____ $60 Dual Member (The Native Plant Center + Lady Bird Johnson Wildflower Center membership)

_____ $75 Household Member - 10 % Discount for Two household members to Events

_____ $125 - $999 Sustaining Member

_____ $1,000 - $4,999 Conservator

_____ $5,000 + Heritage Circle

_____ I am enclosing a donation of $ ________________

_____ GIFT MEMBERSHIP in the amount of $____________

Gift Giver's Name ___________________________________

Gift Giver's Address & Phone # ___________________________________________________________

Gift Giver's E-Mail Address _____________________________________________________________


MEMBER'S NAME _________________________________________________________________

STREET
____________________________________________________________________________
(Print name as you wish it to appear in publications.)

CITY _______________________ STATE________ZIP____________ PHONE _________________

E-MAIL ADDRESS
_________________________________________________________________

Make checks payable to WCC Foundation

or MC or Visa #________________________________ Exp. Date_____________________________

Total amount to charge account $ ________ Name of cardholder_______________________________

Mail to: The Native Plant Center at the WCC Foundation, Hartford Hall, 75 Grasslands Road, Valhalla, NY 10595