Yes, I want to support the Friends



To enroll as a Friend, please print this form and send it to the address below.



(Please print)



NAME____________________________________________________________________


ADDRESS__________________________________________________________________


CITY and  STATE    ____________________________________ ZIPCODE_____-______



PHONE   (_____) _____________________  EMAIL _______________________________



I would like to support the FDPA with the following membership level:


_____ Individual $15 (annual)


_____ Family $20 (annual, includes children through age 18)


_____ Supporting $40 (annual)


_____ Coelophysis $75 (annual)


_____ Dilophosaurus $150 (annual)


_____ Life Membership $1500  (includes spouse)


_____ Corporate Membership $250




                      Please return with your check payable to:


            Friends of Dinosaur Park & Arboretum, Inc.

            Dinosaur State Park

            400 West Street

            Rocky Hill, CT 06067-3506



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