THE CITIZENS’
TRAILS ADVISORY COMMITTEE, INC.
452 N. Easton
Road
Glenside, PA
19038
If you support the purposes of CTAC, please consider
becoming a member of the corporation or, if you prefer, make a tax-deductible
contribution. In either event,
please complete this form and mail it, together with your check (made payable to
CTAC), in the appropriate amount, to: CTAC
(c/o Fred Smith, Treasurer), 2237 Charles Street, Glenside, PA
19038. Please check and
complete (print or type) all that apply:
Membership
Level
Enclosed Amount
_____
Individual Member
$ 10
_____
Family Member
$ 15
_____
Pathfinder
$ 50
_____
Trailblazer
$ 75
_____ Business/Corporate
Member
$250
Additional or Alternative Non-Dues Contribution Amount $______
Name: _________________________________________________
Authorized Representatives (Family or Business Members):
___________________________ , ___________________________
Address: _______________________________________________
_______________________________________________________
E-mail: ________________________________________________
Don Marquardt, President
Julie Still, Secretary