Please complete this form as you would like information to appear in the C.R.P.A. Association directory and mailings.

 

Name:_________________________                   Spouse:_________________________

Primary  ( Mailing )                                                         Secondary ( If Applicable )

Address: ________________________                  Address:__________________________     

                _________________________                              __________________________

               _________________________                               __________________________

Phone:__________________________                                _________________________

Cell: ___________________________                                 _________________________

E-Mail: _________________________                                 _________________________

 
Preferred way to receive correspondence ( please check one ):Mail____   E-Mail___

 Please choose your level of support:

Make checks payable to: C.R.P.A. or Cheboygan River Preservation Assoc.

Member: $25.00 per year ________

Supporter: $100 - $249 per year _______

Sponsor: $250+ per year ________

 Amount enclosed:__________________ ( We are working on our 501(c)(3) status, this is not tax deductible as of yet )

 Thank you for your support.

 Return to: C.R.P.A., P.O. Box 603, Cheboygan, Mi 49721

MEMBERSHIP DUES AND NEW MEMBER APPLICATION

Click the button below to download the form

Membership Form