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PROTECT BATIQUITOS LAGOON AND ITS SURROUNDING
HABITAT ~A PRECIOUS NATURAL RESOURCE
FOR NORTH COUNTY RESIDENTS

The Foundation needs your financial support to continue our valuable work.

[] New Member  [] Renewal  

Name ____________________________________________ Phone ________________

Address ________________________________________________________________

City ____________________________________ State _________ Zip ______________

E-mail (optional) _________________________________________________________

                                        Annual Dues (Check One)

		[]Student/Senior Citizen  $10.00 
		[]Individual               15.00 
		[]Family                   25.00 
		[]Sponsor                  50.00 
		[]Patron                  100.00 
		[]Business/Associate      250.00 

                                                                                                Total Amount Enclosed $______

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To join:  Print this page, fill it out, and mail the upper part plus your check to:

Batiquitos Lagoon Foundation
P.O. Box 130491
Carlsbad, CA 92013

Your membership will be acknowledged by mail and will include a lovely BLF logo sticker in color
for new memberships of $25 or more.

Thank you for your support!

Your contributions are tax deductible to the extent provided by law.