Join Us and Promote Our
New York Waterways!
Please provide the following contact information (*Optional)
First Name Last Name Middle Initial Street Address Address (cont.) City State/Province Zip/Postal Code Country *Home Phone *E-mail
Select any of the following options that apply:
Sustaining Member - $1000.00 Patron - $500.00 Benefactor - $250.00 Business - $100.00 Friend - $50.00 Member - $25.00 Student - $10.00
Sustaining Member - $1000.00
Patron - $500.00
Benefactor - $250.00
Business - $100.00
Friend - $50.00
Member - $25.00
Student - $10.00
To become a member of SCOW, please
Print, Complete and Return this form, along
with your membership dues to:
The State Council On Waterways
P. O. Box 43
Little Falls, New York 13365
