THE CONEJO OPEN SPACE FOUNDATION

 

MEMBERSHIP APPLICATION
Please use the 'Print' button on your browser to print this form.
Then, mail your application to:

Conejo Open Space Foundation
P.O. Box 2113
Thousand Oaks, CA 91358

MEMBER INFO
Member Name (First & Last):
Street Address:
City, State, Zip Code:
Area Code & Phone Number:
Email Address:
Number of Children in Family:
Open Space activities you/your family participate in:

Hiking   Bicycling   Other
Equestrian   Trail Work Days     Explain:
Have you been in COSCA Open Space in the last 12 months (Yes/No)?
MEMBERSHIP OPTIONS   ANNUAL DUES
Student Member   $10.00
Individual Member   $25.00
Business Member   $50.00
Founding Member   $200.00
Corporate Member   $1000.00
Donation Only   Amount: $
PAYMENT INFO
Check enclosed, payable to COSF