Mail-in Membership Form

Roots of Motive Power Membership and Donation Form
(web site)

Roots of Motive Power is a non-profit corporation under Sec. 501(c)3 of the IRS code; all donations are tax deductible to the extent allowed by law.

Name_____________________________________________________
 
Address___________________________________________________
 
City_______________________________ State_____ Zip__________
 
Phone # _________________     Email _________________________
 

Membership Fee, 1 year (January - December), $35.00
(includes a subscription to the Newsletter)
 
$______

I wish to make an additional donation to Roots (Please indicate if you would like your donation to go to a specific project):

__________________________________________________________$_____
__________________________________________________________$_____
__________________________________________________________$_____

 

Enclosed is my check or money order for the total of:

$______

Make checks or money orders payable to:Roots of Motive Power, Inc.

Roots of Motive Power, Inc.
P. O. Box 1540
Willits, CA 95490-1540