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!