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The Danville Area Chamber of Commerce is a proud supporter of the Arkansas River Valley Tri Peaks Tourism Region

On Line Application for Membership in the Mt. Magazine Action Group

Please print this sheet, complete and mail to the following address along with a check for the appropriate membership fee.

Name ___________________________________________________

Mailing Address ___________________________________________________

City State Zip ____________________________________________________

e mail address ___________________________________________________

Phone Number ___________________________________________________

Please choose a membership category:

_______Sparrow - $25.00 Annually - 1 Vote

_______Bobcat - $100.00 5 year Membership - 1 vote

_______Diana - $250 15 Year membership - 1 vote

_______Black Bear - $1000 lifetime membership - 1 vote

_______Summit - $1500 lifetime corporate membership - 1 vote

_______Contributing - $25.00 - non voting

Please indicate your volunteer interests:

______Trail Maintenance          ______ Gardening

______Electrical                     ______Carpentry

______Program Assistance       _______Greeter/Hospitality

______Publicity                      _______ Litter Control/Pickup

______Scrapbook/History/Archives

Other:________________________________________________

Annual dues are payable to the "Mount Magazine Action Group".  Please mail this form and check to: