Membership Renewal / Application Form
Mail payment
with this application to:
Friends of
the Brazos River, Inc.
6336 Goliad
Dallas, TX 75214
Are there any address or telephone changes
since last renewal? No___ Yes___
Name: _______________________________________________________________
Street: ________________________________________ Apt. No.: _________
City: ___________________________ State: ___ Zip: ________
Telephone: Home (_____) _____- ______ ; Work (_____) _____ - ______
Email address: ______________________ @ _________________________
Check here if e-mail version of updates is sufficient _____
_____New Membership; _____Renewal Membership
Type: ___Regular ($10); ___Protector ($25);
___Guardian ($50); ___Ranger ($200); ___Bronze ($500); ___Silver ($1000); ___Gold ($5000)
Term of Membership: Expires in January of next year
FBR is a 501(c)3 non-profit organization and your donations are
fully tax deductible.
$200 > donors will receive a signed copy of Goodbye to a River by John Graves.
Please have my book inscribed to:_________________________
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