Friends of Claytor Lake__________Annual Membership Form

Membership levels for you to consider:

FOCL Admiral: $5,000 and up

FOCL Captain: $1,000 to $4,999

FOCL Commander: $500 - $999

FOCL Lieutenant: $250 - $499

FOCL Ensign: $125 - $249

FOCL Crew: $50 - $124

Name:__________________________________________

Address:______________________________________________

Phone:_______________________

email address:__________________________________

___I would like to volunteer for FOCL

What concerns do you have about Claytor Lake?

______________________________________________________

______________________________________________________

Thank you!

Your contribution is tax deductible.

FOCL is a 501(c)3 Corporation.

Please mail this form and your contribution to:

FOCL
POBox 815
Pulaski, VA 24301