Membership Type Enclosed
Active Dues $10 ______
Active Family $15 ______
Active Lifetime $100 ______
Family Lifetime $150 ______
Junior (under 18) $5 ______
Supporting Organization $40 ______

Special interests and concerns that relate to
PEAR purposes:______________________
___________________________________

Skills and talents that may be called upon to
further PEAR projects:_________________
___________________________________

In signing this document I affirm that I am in
agreement with the mission of this organization.**

_____________________________________
Signed Date

Make checks payable to PEAR Assoc., Inc.
Mail to P.O. Box 424
Okahumpka, FL 34762-0424

** see marguee on the home page for the Mission statement.