Membership Application

Please fill out this application and mail it to:Martin-Fontana Parks Association6081 Meridian AvenueSuite 70 #246San Jose, CA 95120

Date: ___________________________

Memberships: Check one… Individual $20____ Family $35_____ # of people_____

Last Name: ___________________________________________________________

First Name (s): ________________________________________________________ (For Family Memberships, please list the names of the adults only.)

Address: _____________________________________________________________

City: ____________________________________ Zip Code: ___________________

Phone: _______________________________________________________________

Email address: _________________________________________________________

Sponsorship level: Please fill in the amount you wish to donate $ ________________

We have four levels of Sponsorship:

1. Crepe Myrtle $100 to $2492. Sycamore $250 to $4993. Sequoia $500 to $9994. Coastal Live Oak $1000 to?

Total Membership and Sponsorship: ________________________________________

Please make checks payable to: Martin-Fontana Parks Association. You may also pay thru PayPal. Just select the “Make a Donation” box on the

right side of our home page on our website, www.SaveOurParkTrees.com. Then use the “Add special instructions to the seller” section to let us know what the payment is for.