MEMBERSHIP/RENEWAL FORM

$25.00 Affiliate

$50.00 Associate*

$100.00 Support*

$500.00 Sustaining*

$1000.00 Benefactor*

$5000.00 Patron*

Please make your tax-deductible check payable to:

Meadowview Biological Research Station

Amount enclosed:

* For donations of $50 or more, you qualify for a FREE Meadow T-shirt.  Please note here the size you wish mailed to you. (Check one) [  ] S   [  ]  M   [  ]  L   [  ] XL    [  ] XXL

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Please mail this form and your check to:

Meadowview Biological Research Station
8390 Fredericksburg Turnpike 
Woodford, VA 22580