Tree Lodi Membership Application

Name*

Address*

Street Address Line 2

Phone Number*

Email*

What are you interested in?*

Helping to staff our booth at Tree Lodi eventsSpeaking to other organizations about Tree LodiParticipating in tree planting, maintenance work projects

Do you have experience in any of these areas?

Fund raisingGrant writing applicationsOther

To complete the membership application, please include your $20 dues with the application.

Tree Lodi
1049 E. Augusta Street #701
Woodbridge, CA 95258

Any questions, please call Steve Dutra (209-210-0255), Gordon Schmierer (209-368-9013), or Nancy Mehlhaff (209-712-1705)

Signature*