Pullman Civic Trust 
		-- Membership Application Form --



YES!  I/we would like to be a part of the Pullman Civic Trust
    ( )	Renewal Membership
    ( )	New Membership

Enclosed is my annual contribution of:
 
    ( )	$35 Individual/Family
    ( )	$50 Sustainer
    ( )	$100 Patron
    ( )	$250 Sponsor
    ( )	$500 Benefactor
    ( )	Other, please specify ________________________

YES!   I/we would like to lend assistance in the following ways:    
    ( )	Potential Board member
    ( )	Volunteer for planting, park maintenance
    ( )	Grant writing or fundraising
    ( ) Secretarial or treasurer assistance
    ( ) Lentil Festival flower bulb sale
    ( )	Other, please specify: ________________________

Name ___________________________________________________________

Address _________________________________________________________

City _____________________________________________________________

State ____________  Zip ___________

Telephone _________________  Email ________________________________

Comments _______________________________________________________


Mail the completed form to:
	Treasurer
	Pullman Civic Trust 
	PO Box 322
	Pullman, WA	99163