Membership/Contribution Form

This is a printable form to be mailed or faxed in only.

Yes! I want to be a member of REEF RELIEF. My tax deductible contribution will entitle me to one year's membership, and to receive the quarterly newsletter, REEF LINE, and a REEF RELIEF window decal and bumper sticker, invitations to special events, 10% discount on all retail and online purchases, and other membership privileges...

For a tax deductible contribution of $50 or more, I'll receive an exclusive, members-only “Protect Endangered Coral Reefs” t-shirt. (Be sure to indicate the T-shirt size you'd prefer in the “Comments” section of this form.)

Be A Sea Fan! Join Reef Relief for $30 - $99.

Be A Coral Polyp $20 contribution. For students and seniors over age 65. It takes a whole lot of polyps to make a coral!

Be A Sea Turtle $100 - $249 contribution. A powerful and beautiful partner of the coral reef.

Be A Dolphin $250 - $499 contribution. Graceful and carefree, these are certainly one of the smartest partners of the coral reef!

Be An Eagle Ray $500 - $999 contribution. Majestic magnificent, silent and strong, a memorable member of the coral reef partnership.

Be A Coral Head $1000 + contribution. The very foundation of life on this planet.

Yes! Please add me to the “Reef Relief Announcement” mailing list so that I can receive regular updates on coral reefs.

Yes! We want to be contributors to REEF RELIEF's coral reef conservation efforts. I understand that my tax-deductible contribution of $________ will entitle me to receive the quarterly newsletter, REEF LINE, a REEF RELIEF window decal and bumper sticker, a certificate of recognition, invitations to special events and other membership privileges.

Yes! I want to volunteer to help REEF RELIEF in its conservation efforts. Areas of interest (indicate fundraising, office assistance, buoy maintenance, educational materials distribution, other):

Yes! We are interested in becoming sponsors of REEF RELIEF. We understand that my tax-deductible contribution of $500.00 will entitle us to receive the quarterly newsletter, REEF LINE, a REEF RELIEF window decal, bumper sticker, a certificate of recognition, invitations to special events and other membership privileges, along with acknowledgement in the newsletter.

Additional Information
First Name:
Last Name:
Address:
City:
State:
ZIP:
Telephone:
E-mail:
Comments:

Credit Card Holder Information
Full Name:
(If different than above)
Card Type : Visa      Mastercard      Amex       Discover
Card #:
Expiration
Date:
Month


Year


Print and mail or fax this information to:
REEF RELIEF
P.O. Box 430
Key West, Fl 33041
Fax: (305) 293-9515

THANK YOU for your commitment towards saving the coral reefs!