CCCT Membership Form

Print out the form below, complete and send it with your check payable to Coalition for the Capital Crescent Trail and addressed to:

        Coalition for the Capital Crescent Trail
        P.O. Box 30703
        Bethesda, MD 20824

Yes!  I want to help complete the Capital Crescent Trail and make the Trail safer and more pleasant to use!

Name(s) ________________________________________________________

Address ___________________________________________  Apt. _______

City ____________________________  State _____  Zip ______________

Home Tel ______________________      Work Tel ______________________

E-mail ________________________

_____ New member      _____ Renewing member

Enclosed is my tax-deductible contribution of:

___ $500 Benefactor
___ $200 Trail Blazer
___ $100 Patron
___ $60 Path Finder
___ $30 Contributor
___ $10 Basic

A detailed four-color map of the Capital Crescent Trail with historical perspectives is free to all new members.

Thanks for the Coalition's efforts on behalf of the Trail. Here's an additional contribution of $____________ to make the Trail safer and more pleasant to use!

CCCT is exempt from federal taxation under section 501(c)(3) of the IRS Code and is qualified to receive tax-deductible contributions.