4th Grader Membership Form

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PLEASE NOTE: Your total may not appear as $0 until you get to the Order Summary page and enter the discount code (displayed at the bottom of the Summary page).

Please add your 4th grader as a submember so they are included on your membership. Be sure to add all other people in your household.

If you're able, please consider a donation to Riveredge in lieu of a membership fee. All donations to Riveredge are tax deductable.

Enter the code 4THFREE2324 below to get your free membership.

New memberships will be active through 8/31/2024. If you are renewing your current membership then one year will be added to your expiration date.

Dual Membership

Family Membership

Family - Lifetime

Military Family Membership

Family - Staff

Secure Payment

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First Name *

Last Name *

Email *

All members will receive the quarterly newsletter via email. Due to a significant increase in the cost of printing, a mailed paper copy is available for an additional $15/year. A link to purchase the paper newsletter add on will be in your confirmation.

Mailing Address Line 1 *

Mailing Address Line 2

City *

State/Province *

Zip/Postal Code *

Why do we ask these questions?

This information helps us understand who Riveredge serves. The data collected is crucial for Riveredge to apply for and receive funding through grants and partner organizations. Please answer these three questions for each person on your membership.

Your Birthday *

Your Gender *

Your Race *

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4th Grader's Full Name *

Please also add your 4th grader as a submember on the next page to ensure they are added to your membership.

School Name *

4th Grade Teacher (if known)

How did you hear about this program at Riveredge? *

We are Riveredge Members

Riveredge Website

Riveredge Email or Newsletter

Riveredge Social Media

Other Social Media Account

Teacher / School

Friend or Other Parent

Other

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Add additional members

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Birthday *

Gender *

Race *

Add {{subMemberDisplayName}}

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Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Enter the code 4THFREE2324 to get your free membership.

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

ACH

PayPal

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

You will be charged

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Amount:

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4th Grader Membership

RIVEREDGE NATURE CENTER

262.375.2715

4458 County Rd Y
Saukville, WI 53080

Mailing Address:

PO Box 26
Newburg, WI 53060

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
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No contacts.