Friends of Island Beach State Park, Inc.  

P.O. Box 37

Seaside Park, NJ 08752-0037

www.friendsofislandbeach.com/

 

Phone/Fax:  732-793-5525

Email: friendsofislandbeach@yahoo.com

 

Application

     Form

 

Please print all information

 

Date: ____________

 

 

Membership Type:                Family ($25) _____                Individual ($15) ______

 

(Please make checks payable to:  Friends of IBSP, Inc.)

 

 

Name: ______________________________________________________________

 

Address: ____________________________________________________________

 

City:   ______________________________

 

State: ______________________________            Zip Code: _________________

 

Phone Number: (_____)________________

 

E-Mail: ______________________________________________________________

 

If family membership, the names of up to four immediate family members:

 

  _____________________________________________________________________

 

Would you like information on Park Volunteer’s?  Yes___            No___

 

What are your main interests and activities in Island Beach State Park:

 

 

 

 

Thank you for your continuing support of Friends of Island Beach State Park………

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CHKNO: ________                         CASH: _______                              DATE: ___________                     INITIALS: _______