YES! I wish to join WWC:

_____ Individual ($25) _____ Family ($35)
_____ Supporting ($60) _____ Corporate ($75)
_____ Contributing ($100) _____ Sustaining ($250)
_____ Sponsoring ($500) _____ Silver ($1000)
_____ Gold ($5000)


Name_________________________________ _

Address____________________________________

City____________State_____________Zip ______

Phone____________

Fax________________________

E-Mail______________________

Please make Checks payable to: WWC, Inc.
Phone: 201-967-0133
Fax: 201-967-7517
Email: info@hwwc.org

Mail to:
The Water Works Conservancy, Inc.
Elm Street at New Milford Avenue
P.O. Box 714
Oradell, NJ 07649