Brunswick Environmental Action Team

(BEAT)

   Membership Form (Individual, Family, Student, Gift)

(Membership fees have not yet started. To become a member, complete 

this form and send to Tom Goodwin, BEAT Treasurer, at themayor0816@gmail.com or to 1080 Sea Bourne Way, Sunset Beach, NC, 28468

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)? Do you support these statements?

   _____ Yes - then please do send in the form and we look forward to having you as a member

   _____  No - then we appreciate your desire for civic involvement, but BEAT does not seem to be a good fit for your interests

Name:

Address:

Phone:

E-mail:

_____________________________

 

_____________________________

_____________________________

_____________________________

 

_____________________________

 

_____________________________

Membership Type:

____

____ (please list all names above)

____

_________________

Individual

Family

Student

     At what school?

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

___ Other (specify) _____________

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

_____ Finance/Fund-raising

_____ Media

_____ Special Events

Please return this completed form to Tom Goodwin, BEAT Treasurer, at themayor0816@gmail.com or to 1080 Sea Bourne Way, Sunset Beach, NC, 28468.

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For more information about BEAT, contact:

 BEATPres@gmail.com