Waterfall Keepers of North Carolina · Membership & Donation

THANK YOU FOR JOINING US!

Gift amounts of at least $15 for child, $35 for adult, and $60 for family entitle you to a one-year membership.

Amount *
$5,000
$1,000
$500
$100
$60 - Family Membership
$35 - Individual Membership
$15 - Child Membership (14 and under)

$

Donation Frequency

Please choose one

*

New membership

Renewing membership

Already a member and want to help more

I just want to help!

Number of children for family memberships ($60 or higher donation level)

So we know how many Junior Keeper stickers to send

Name

*

First Name

Last Name

Partner name for family membership ($60 or higher donation level)

First Name

Last Name

Email

*

Verify Email

*

Phone

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Please keep my donation anonymous

Are you giving this membership as a gift?

*

Yes

No

Name of person being gifted this membership

First Name

Last Name

Spouse/Partner of person being gifted the membership (for family membership only)

First Name

Last Name

Number of children for gifted family memberships

So we know how many Junior Waterfaller stickers to send

Email of person being gifted the membership

Verify Email

Address of person being gifted the membership

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

How to contact giftee

Please send gift certificate and stickers to me so I can present them to giftee.

Please send gift announcement and stickers directly to giftee.

Is this donation in honor of or in memory of someone?

*

In honor of

In memory of

Not at this time

Name of tribute

Who should we notify of this tribute gift?

Where should we send notification of this tribute gift?

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