Austin Coalition for Environmental Sustainability – ACES , Austin, MN

Annual Membership Donation

Suggested membership donation:

____$25  (individual)                                  ____ $50  (family)

____$75  (business/club)                          ____$100  (contributor)

Other   $____________ Any size contribution is greatly appreciated

and supports local efforts to educate and promote reducing our carbon footprints.

Please complete for our records (e-mail notification fields (*) are required):

*Name__________________________________________________

Address________________________________________________

City_________________________________State_____

*Zip Code _______

*Email__________________________________________________

Phone(s) _______________________________________________

I am interested in learning more and/or volunteering for the following (check all that apply):

[     ]   Alternative and Renewable Energy issues

[     ]   Public Policy and  Education issues

[     ]   Community, Business and Regional Partnerships

[     ] Local Recycling, Local consumption issues

Make Check Payable To:

Austin Coalition for Environmental Sustainability (ACES, Inc.)