Penobscot Bay Watch
POB 1871
Rockland, Maine 04841

Check one: ______New ___ Renewal ____ Gift

Name:___________________________________________________________

Street/POB:________________________________________________________

City: ____________________ State: _______ Zip:_________________________

Telephone:___________________________ Email________________________

I am interested in: (check as many as apply)
______Penobscot Bay's fish & shellfish
______Penobscot Bay's marine mammals
______Penobscot Bay's birds
______Penobscot Bay's coastal development
______Penobscot Bay's industrial facilities.
______Penobscot Bay's _______________ (describe)

Annual Membership (Individual Memberships only) (Check One)
Bay Watcher_______Free
Student___________$5
Standard__________$15
Senior ___________Free

Method of Payment (Note: donations are NOT tax deductible).
______Free. In-kind donations of advice, time, goods or services. (describe)
______Check or Money order made out to"Penobscot Bay Watch" Mail your membership application and check if applicable to our Rockland address, above. Please write "membership" in the memo blank at the bottom of your check.

_____ Send a Penobscot Bay Watch brochure

Pen Bay Watch does not sell or distribute its membership list for any purpose.