HHC MEMBERSHIP APPLICATION

[ ] YES, count me among hikers who care about developing, protecting, and preserving Hoosier hiking trails. I would like to become a member of the Hoosier Hikers Council

[ ] Individual $25
[ ] Family $35
[ ] Organization $40
[ ] Business sponsor $100
[ ] Trail Maintainer $100
[ ] Trail Builder $250
[ ] Trail Sustainer $500
[ ] Other contribution ______________

[ ] Knobstone Trail Land Acquisition Fund _____
Donors of $250 or more may specify a commemoration:__________________________________

TOTAL: ______________

The Hoosier Hikers Council is an incorporated non-profit organization. Memberships and donations are tax deductible. Make checks payable to Hoosier Hikers Council and mail to the HHC, P.O.Box 1327, Martinsville, IN 46151.

Name: __________________________________________________

Address: ________________________________________________

City, State, Zip: ___________________________________________

Telephone:     Day: ____________________     Evening: ____________________

E-mail address: ___________________________________________

[ ] Please send ______ brochures.

[ ] I would like to help with work of the Council:

[ ] adopt a trail monitoring                [ ] race support team
[ ] publicity or fundraising                 [ ] trail building or repair
[ ] roadside monitoring                     [ ] legislative liaison
[ ] community liaison