Yes, I would like to become a member of the

Coal Creek Community Coalition!


Please print and fill out the following application and send to:

Coal Creek Community Coalition; Membership
c/o William Weinstein-Treasurer
73 Skagit Key
Bellevue, WA 98006

Name: ____________________________________________________________

Address:___________________________________________________________

Phone:_______________________Fax/E-mail:____________________________
 
 

(For group or community memberships)

Name of community or group:__________________________________________

Contact person:______________________________________________________

Your group represents how many members? _______________________________

Group Address: _____________________________________________________

Phone: _______________________Fax/E-mail: ____________________________
 
 

Please sign me up as a member of the Coal Creek Community Coalition.

Enclosed is my check for $ _________ ($5.00 minimum, any amount is appreciated.)

Please make checks payable to the "Coal Creek Community Coalition."

(Coal Creek Community Coalition is a 501(c)(3) Non-Profit Organization)
 
 

Please indicate (with check marks) your willingness to help this organization with:

______Bank stabilization projects.

______Community education programs and events.

______Phone calls to help solicit new membership.

______Political activity and coordination.

______Other:________________________________________________________
 
 

Back to HomePage.

View Upcoming Events.