TRI--COUNTY TRIANGLE TRAIL MEMBERSHIP APPLICATION
Name __________________________________________________
Street __________________________________________________
City ________________________ ST ______ Zip __________
Home Phone ( )____________
Work( )_____________
Email _______________________________________
(We value your privacy and will not release information to others
without your permission!)
Family Membership (one vote per family)
List other family names:
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
1) Annual Membership is $10.00 per individual or family
2) Make checks payable to Tri-County Triangle Trail, Inc.
Contribution is tax deductible
3) Mail to:
Tri-County Triangle Trail
P. O. Box 887
Chillicothe, OH 45601
___ I would like to make an additional contribution to the trail.
___ I would like to make a memorial contribution to the trail.
In memory of ____________________________________.
4) Receive in return mail your membership cards
