Riverside State Park Foundation

Membership Application

(You will need Adobe Acrobat Reader to access our mail-in online form. If you don't have it already, click here to download it from the Adobe site.)

Become a Member Online Now! Click here or scroll down to the "Donate" and "Subscribe" buttons at the bottom of the page.  Or, you can print out this page, with the application form below, and mail it to the Foundation address .

Name: _______________________________________________________

Date: (Month:)_______________ (Day:)_______ (Year:)__________

Address: _____________________________________________________

City: _______________________________ State: _____ Zip: ___________

Phone: (______) _______ – ______________

E-Mail: ______________________________________________________

Mail to: Riverside State Park Foundation
9711 W. Charles Road
Nine Mile Falls, WA 99026

Individual & Family General Membership
$10 per year -or-
10 hours of documented volunteer service

Supporting Membership
$50 or more per year-

Membership year is for one year from the date the application is received.

I have enclosed $___________ for my membership.

I would like to volunteer _______ hours for my membership fee.