MVTA Membership Application

I would like to support MVTA with my membership donation as follows:  
  checkbox Individual Membership   $25/year
  checkbox Family Membership (includes all household members)   $35/year
  checkbox Trail Guardian (includes all household members)   $100/year
  checkbox Lifetime Sponsor (includes all household members)   $1,000
Please PRINT your name and those of household members (18 years and older)
Primary Member
First Name:
Primary Member
Last Name:
checkbox F
checkbox M
Age
Household Member
First Name:
Household Member
Last Name:
checkbox F
checkbox M
Age
First Name: Last Name: checkbox F
checkbox M
Age
First Name: Last Name: checkbox F
checkbox M
Age
Street or PO Address: City: State: Zip:
Phone:   (           ) Email:
How did you first learn about MVTA? I would like to be notified about...
checkbox upcoming Trailwork (clearing/trimming/marking)
checkbox possible committee work (special events, etc.)
My household's trail-related interests are:
checkbox Walking   checkbox Biking   checkbox Running   checkbox Walking dogs    checkbox Riding horses   checkbox Geocaching
checkbox Other: _____________________
Please send the monthly MVTA Newsletter:
     checkbox PDF version by Email (Be sure to provide your Email address above.)
Check Enclosed for:
    $
Please make check payable to "MVTA"
Mail to:

MVTA
P.O. Box 871
Meadow Vista, CA 95722

Your contribution may be tax deductible. MVTA is a 501(c)(3) charitable organization. As a non-profit organization, the MVTA, working in conjunction with the County of Placer, is also eligible to accept contributions including the donation of land, the dedication of public trail easements, and direct cash gifts from individuals, corporations, and service clubs.

Privacy Policy: The information you provide on this form will be used strictly in association with your request to join MVTA, mailing/emailing the monthly newsletter and for contacting you regarding MVTA business.

Your contact information will not be sold to or otherwise shared with any third party.