Foundation
Board Members
Ms. Freda Roberts, President
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The Dauphin Island Sea Lab Foundation
Post Office Box 438
Dauphin Island, Alabama 36528
D a u p h i n I s l a n d S e a L a b F o u d a t i o n
Yes, I’d like to become a friend of the Dauphin Island Sea Lab!
Please check one:
Basic Levels: ___Student ($30) ___Individual ($50) ___Family ($100)
Advanced Levels: ____Seahorse($250) ______Skate ($500) ______ Starfish ($1000) _____School of
Fish($2500)
______/_____/_______ Today’s date
______________________________________________
Name
______________________________________________
Address
______________________________________________
City, State, Zip
______________________________________________
Phone number
Email Address
# ____________________________Exp. Date_________ Credit Card Information, Visa, M/C, Am. Ex.,
Disc.
Please Consider An Additional Donation:$_____________
Please print out this form and mail to:
Please make check payable to: The Dauphin Island Sea Lab Foundation (DISLF) P.O. Box 82151 Mobile,
AL 36689-2151