PRINTABLE MEMBER REQUEST




PRINT MEMBER FORM



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MHCA Printable Membership Form

Print and fill out the following form. Include payment (check) for your donation. Then, mail it to this address:



MONOCACY HILL CONSERVATION ASSOCIATION
P.O. BOX 3
DOUGALSSVILLE, PA 19518
Attention: Member Services



















NAME:


ADDRESS:


CITY, STATE and ZIP:


PHONE NUMBER:


EMAIL ADDRESS:


MEMBERSHIP CATEGORIES ( PICK ONE)



















Senior Citizen $10.00
Individual $15.00      
Family $20.00            
Supporting $50.00      
Sustaining $100.00      
Business $100.00 *      
Student $10.00 **        



NOTES:


* Because we are a 501(c)(3) non-profit organization, business contributions qualify as tax deductible. However, we also
offer to place a button ad on our “Friends In Business” page as part of any $100.00+ business contribution. In the later case,
a contribution may not be tax deductible. Please contact us by email at memberservices@monocacyhill.org if you’d like us to include you on our “Friends In Business” page.


** Student memberships are only available using this mail-in form. This category is for students at any
grade level, k-12 or enrolled in a college/university curriculum.