Name  ____________________________

Address___________________________

City ______________________ 

State  ________

Zip _____________

(  ) New

(  ) Renew

($      ) Amount enclosed

If more than $5 is enclosed, should additional funds be used:
 (   ) as a donation?
 (   ) to extend your membership?

Make checks payable to Holiday Nature Preserve Association and mail to:
HNPA, Box 52104,
Livonia, MI 48152

We ask for a $5 annual donation. Memberships run thru the end of the year. Additional donations are appreciated and will be used to benefit  the preserve.