Please sign me up as a member of the Friends of Pepperell Recreation

__ Friend $10

__ Family Friend $25

__ Sponsor $40

__ Business or Organization $50

__ Benefactor $100

__ Other Donation $___

Name: _______________________________

Address:_____________________________

Telephone:___________________________

E-mail Address:_______________________

Please include your email address if you would like to be on our mailing list.
We will not share your email address with any other party.

PLEASE PRINT AND SEND THIS FORM, ALONG WITH YOUR CHECK, TO:

Friends of Pepperell Recreation
PO Box 1533
Pepperell, MA 01463

THANK YOU FOR YOUR SUPPORT!