Membership Application Form

Please fill out this form and print it out, then mail it along with your payment to:

Council of the Alleghenies
P.O. Box 514
Frostburg, MD 21532

Membership type:

Individual $15

Sustaining $50

Supporting $25

Lifetime $150

Enclosed please find my membership dues in the amount of $

Name:

Address:

City:

State:

Zip Code:

Please tell us how you first learned about the Council:

Please note: this is not an online submission form. You will need to print it off and mail it along with your payment to the address above. If you do not have access to a printer please write down the pertinent information and mail to the address above.

Editorial comments and membership questions should be addressed to Dr. Anthony Crosby
Updated 6/28/11