Conemaugh Valley Conservancy
Member/Donor Form
Please complete online or print and return to:
CVC, P.O. Box 218, Johnstown PA 15907-0218
If paying by mail, make checks payable to Conemaugh Valley Conservancy (EIN #25-1756447)
First Name
*
Last Name
*
Organization
Street Address
*
Street Address
City
*
State
*
Zip Code
*
Country
Phone
E-mail
*
I want to receive email announcements and/or newsletters from CVC:
Yes
No
Are you a:
Renewing member
New member
Donation Only
Please include your email to receive our e-newsletter and annual report. If paying by mail, please make checks payable to Conemaugh Valley Conservancy (IEN#25-1756447)
If you are a new member, please tell us how you heard about the CVC.
CVC Facebook Page
CVC Board Member
West Penn Trail Facebook page or event
Stream Team program
River Sojourn
Other
Please indicate your membership level below. You can also designate an additional donation to your preferred program area.
$25 Individual
$50 Supporter
$100 Sponsor
$250 Patron
$500 Champion
Donation:
Preferred program area for your donation.
CVC operating budget
Stream Team
West Penn Trail
Share the Love (divide my donation)
* For information about West Penn Trail or Stream Team sponsorships contact Laura Hawkins at (724)858-0463 or lhawkins32@zoominternet.net.
Total for Membership and/or Donation:
*
prev
next
( X )
USD
Membership and/or Donation
This form may be used for membership and/or donations. If you are making a donation, please comment on how you would like it to be used.
Proceed to Checkout
Should be Empty: