Application for Membership

Return to: Edisto Island Preservation Alliance
P.O. Box 157
Edisto Island, SC 29438
e mail preserveedisto@bellsouth.net

Name:_____________________________________
Mailing Address: ______________________________
City_________________________State____Zip_____
E Mail Address (very important): ______________________
Phone number (optional) ______________________

Membership level - check one
_____individual $5 _____Family$10 _____Business $25

I would like to make an additional donation - Amount______

Our membership year runs from October 30 to October 30. Members
joining within 3 months of Oct. 30 (Aug-Oct) are extended an
additional 12 months.

Thank you for supporting this important work.