POTOMAC HERITAGE TRAIL ASSOCIATION
Membership Enrollment Form
Yes! I wish to join others in creating, building and protecting the Potomac Heritage National Scenic Trail. I am enclosing my membership dues of $25.
I wish to make an additional donation of: $____________
Method of Payment: Please make your tax-deductible payment by check payable to “Potomac Heritage Trail Association” and return completed form to:
Potomac Heritage Trail Association, 118 Park Street, S.E. Vienna, Virginia 22180.
Member Information:
Name___________________________________________________
Address_________________________________________________
City, State, Zip____________________________________________
Telephone No_____________________________________________
E-mail Address____________________________________________
For further information, call 571-436-7801 or toll-free (888) 223-4093
Welcome to PHTA and Thank You!