Mail in form to become
an EcoCity Cleveland member

We are creating a vision of a better future for Northeast Ohio, and you can support our programs through membership donationsby check or online. EcoCity Cleveland is a nonprofit organization, and donations are tax-deductible. After you fill out the form and write your check, mail it to EcoCity Cleveland, 3500 Lorain Ave., Suite 301, Cleveland, OH 44113.

Name________________________________________

Street address_________________________________

City/state/zip__________________________________

Phone________________________________________

E-mail________________________________________
(include your e-mail address to get our alerts and updates)

EcoCity Cleveland membership levels
a tax deductible contribution

New one-year membership$35

Renewal regular one-year membership$35

Supporting membership$50 or more

Limited income membership$15 (or what you can afford)

Total

Thank you for your support!

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EcoCity Cleveland
3500 Lorain Avenue, Suite 301, Cleveland OH 44113
Cuyahoga Bioregion
(216) 961-5020
www.ecocitycleveland.org
Copyright 2002-2003

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Amount enclosed

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