Membership to the Mad River Steering Committee

Dues are only $20 per year and it will show that you want to be a part of the effort to protect and improve water quality in the Mad River. Use this form to pay your dues or make a donation by mail. Dues and donations to the Mad River Steering Committee are tax deductible. Thank you.

Name _________________________________________

Address: _______________________________________

City:_______________________________

State:________________ Zip Code:______________

Dues $______________________

Donation $__________________

Thank you For Supporting The Mad River Watershed!

Send to:
The Mad River Steering Committee
c/o John Dete, Treasurer
2512 St. Rt. 287, Box 557
West Liberty, Ohio 43357