OFFICIAL MEMBERSHIP FORM
for
THE EARTH SOCIETY FOUNDATION



TO: THE EARTH SOCIETY FOUNDATION
238 East 58th Street, Suite 2400
New York, NY 10022

ATT: THOMAS C. DOWD, PRESIDENT

Please be advised that I wish to become a member of the Earth Society Foundation, a non-governmental organization founded in 1976, and affiliated with the United Nations. The Earth Society Foundation was co-founded by John McConnell, the founder of Earth Day, and by Captain Anthony Keasbey, and Frank Braynard, and strongly supported by the world renowned anthropologist Margaret Mead. There is only one Earth Society Foundation affiliated with the United Nations, and Thomas C. Dowd is the current President.

Enclosed please find membership fee in the amount of $35.00 for annual membership to the Earth Society Foundation. Make check payable to THE EARTH SOCIETY FOUNDATION and mail to:

The Earth Society Foundation
238 East 58th Street, Suite 2400
New York, NY 10022

ATT: THOMAS C. DOWD, PRESIDENT

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