SUSQUEHANNA RIVER TRAIL ASSOCIATION, INC. PO BOX 62023
HARRISBURG, PA 17106-2023
http://www.susquehannarivertrail.org OFFICERS Mike Traxler President 1345 Sconsett Way New Cumberland PA 17070 Eve: 717-385-9636 Brook Lenker Vice President 123 Old Mill Dr Camp Hill PA 17011 Cell: 717-756-2637 Eve: 717-731-0323 Jeff Miller Secretary 139 Miller Rd Halifax PA 17032 Eve: 717-460-4094 John Meister Treasurer 110 S Market St Mechanicsburg PA 17055 Day: 717-697-2261 Eve: 717-766-2214 Wes Harner, Forester DCNR Liaison Bureau of Forestry PO Box 315 Aristes PA 17920 Day: 570-875-6450
[email protected]
Membership Application/Renewal Form Please enroll me as a member of the Susquehanna River Trail Association (SRTA)
New member families will receive a boat/bumper sticker, and a 2003 edition, waterproof, folded copy of the Susquehanna River Water Trail – Middle Section Guide. Applications received after June 30 will take effect immediately and continue through the end of next calendar year. All member families will receive a membership card/receipt, and newsletters by US mail or publication notices via email. All member families joining/renewing for 2 years will receive a color Animal Tracks Pocket Naturalist Guide New Membership Renewal Membership Name:______________________________________________ Date: ___________ Address:_____________________________________________________________ City:_____________________________ State:___________ Zip:_____________ Phone #s:
Day (____)___________ Evening (____)___________
Cell (____)___________
Email Address: (Please print)_______________________________________________________ (Your Email address will not be shared with other organizations that are not affiliated with the SRTA.)
The following additional family members, living in my household, also will be entitled to the right to vote and participate in membership activities: (Junior members are eligible for all committees and most offices) Additional Adult Family Members (18 years+): Junior Family Members (12-17 yrs):
_____________________ _____________________ _____________________
_____________________ _____________________ _____________________
Dues include all family members listed above, living in same household: 1 yr: $25.00 or 2 yrs: $35.00
_______
Donation to the SRTA to further the activities as prescribed in its bylaws: TOTAL ENCLOSED
_______ $
Send payment and application form to:
Susquehanna River Trail Association, Inc PO Box 62023 Harrisburg PA 17106-2023 Questions or information ? Use above address or use email at:
[email protected] 1/17
The SRTA is a 501(c)(3) organization, gifts to which are deductible as charitable contributions for Federal income tax purposes. A copy of the financial statement is available on request from the SRTA office or by calling the SRTA message line and providing your name address and telephone number. The official registration and financial information of the SRTA may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.
An Island Adventure
