Brunswick Environmental Action Team

(BEAT)

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   Membership Form (Individual, Family, Student, Gift)

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Submit your BEAT membership form and you will be automatically added to the growing list of BEAT members. Membership is FREE!

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To become a member of the Brunswick Environmental Action Team, please complete the form below and send a copy of your completed form to the BEAT president, Pete Key, at: beatpres@gmail.com 

Before completing the membership application, be sure to read BEAT's mission statement, vision statement, and core values (available on our website - www.bcbeat.org)?

If you honestly support BEAT vision and mission statements as outlined on the description on our webpage please send in the form and we look forward to having you as a member

We look forward to finding local environmental issues that we can work on together.

Name:

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Address:

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Phone:

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E-mail:

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Membership Type:

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____ (please list all names above)

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Individual

Family

Student

     At what school(s)?          

Have you received this membership as a gift?     _____ Yes            _____ No

Primary Areas

of Environmental

Interest (check

as many as apply):

___ Clean, renewable energy

___ Ecosystem/wildlife protection

___ Environmental Injustice

___ Land conservation/

            management

___ Nuclear safety

___ Seismic blasting/offshore

             drilling

___ Water quality/storm water runoff

___ Climate change/global warming

___ Dredging of waterways

___ Industrial agriculture/hog farming

___ Landfills/recycling/plastics

___ Pollution (air, marine, solid waste, water)

___ Terminal groins

___  Open burning of trash

___ Other (specify) _____________________

Please check any standing committees in which you might be interested in serving; check all that apply)

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_____ Finance/Fund-raising

_____ Media

_____ Special Events

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Please return your completed form to Pete Key, BEAT President, at: beatpres@gmail.com