Please print this out, fill it out and mail, with your check to:

Highland Landing Park Association
P.O. Box 329
Highland, NY 12528

I wish to support the Bob Shepard Highland Landing Park by becoming a member of the Highland Landing Park Association.

NAME:

ADDRESS:

PHONE:

EMAIL:

MEMBERSHIP CATEGORIES (PLEASE CHECK ONE):

____INDIVIDUAL $10

____FAMILY $15

____SPONSOR $50

____LIFE MEMBER $250

____PATRON $1,000