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Tri-County Triangle Trail
Membership

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Print this form and return to Tri-County Trail

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      

 

Mail Completed Form to:  Tri-County Triangle Trail, PO Box 887, Chillicothe, Ohio 45601