Membership Form

*This is a:


New Membership   Renewal  Gift Membership


*Member's First Name:
*Last Name:
 This is a Gift Membership From:
Please select a membership level or put the amount you wish in the Donation field below:

$25 – Student / Limited Income
$40 – Individual
$60 – Family
$100 – Pathfinder
$500 – Trailblazer
$1000 – Close the Gaps Club
(a donation of $1000 automatically enrolls you in the Close the Gaps Club)
$1500 – Individual Life Membership
Other - enter amount in donation field below


Would you like to make an additional donation to the East Coast Greenway Alliance?


Optional donation amount in dollars (numeric):

Enter numbers only (20, 50, 100, etc)

Does your company have a matching gift program?
Company name:
Please mail us a completed corporate matching gift form.

Payment information:


*Credit Card Number:
*Card Name:
*Expiration Date:

Visa / Mastercard: the CVV number is on the back of the credit card and is the last 3 digits on the righthand side of the long string of numbers on the signature strip.

Yes! I'd like to subscribe the ECG E-News!

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