C & O Canal Association - Printable Association Membership Form
| Name | _____________________________________________________________ |
| Address | _____________________________________________________________ |
| City, State and Zip | _____________________________________________________________ |
| _____________________________________________________________ | |
| Phone | _____________________________________________________________ |
| Name to appear on badge | _____________________________________________________________ |
| Name on 2nd badge | _____________________________________________________________ |
| Gift from | _____________________________________________________________ |
Individual membership: $15
Family membership: $20
Patron membership: $25
Please make your check payable to the C&O Canal Association and mail it and this completed form to:
The C & O Canal Association
P.O. Box 366
Glen Echo, Maryland 20812-0366