Points Request – Local or Outdoor Organization (join or attend event)

Name*

First

Last

Organization and/or Event name:*

Did you just join this organization?*

Yes (20 points)

No

Did you attend an event for this organzation?*

Yes (50 points)

No

Are you a board member of the organization?*

Yes (100 points/year)

No

Date joined/date of event

195 West Main Street
Springville, NY 14141

Phone:
1-800-544-1600

Fax:
716-662-9426

Contact Form:
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