Membership Form

Name __________________________________________

Address ________________________________________

State_________________                  Zip _______________

Phone __________________________________________

Email ___________________________________________

Student - $10   Standard - $25 Supporter $50*   Trail Blazer $100   Trail Master $500

*People and businesses who join at the $50 level and up will receive a free Pathways T-shirt. If you join at this level, please specify the size of the T-shirt you want:

Small                Medium                Large                  XL                      XXL

Please print and send this form along with your membership fee to:

 Valley County Pathways, P.O. Box 455, Donnelly, ID 83615.

Valley County Pathways, Inc. is a non-profit organization. All contributions are tax-deductible.

Thank you!