Annual Membership Contribution Levels
Become a PARTNER in expanding
regional dialogue and planning
for the future!
Any interested person or organization may
become a member upon payment of an annual
contribution. Members may vote, hold office
and will receive CAP-21 notices and reports.
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- Please contact me on ways to donate stocks or in-kind donations.
- $1-25 Friends Member
- $26-100 Guiding Member
- $101-250 Sustaining Member
- $251-500 Visioning Member
- Other: _______________________
- Please contact me on ways to donate stocks or in-kind donations.
- Please contact me regarding volunteer opportunities.
Name
Address
Phone E-mail
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To join, renew your membership,
and/or make a donation, simply print
out this form with enclosed payment
and send it to the following address:
Central Adirondack
Partnership for the 21st Century, Inc.
P.O. Box 642
Hemmer Cottage on the Pond
Old Forge, NY 13420
Tel: (315) 369-3353
Fax: (315) 369-3355
E-Mail: info@cap-21.org
CAP-21 is a 501(c)(3) not-for-profit corporation.
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