Individual and Household Membership Form

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If you're a regular donor to Friends of the Mad River, please consider creating a login name and password. It will allow you to manage your account (i.e., view donation history, change address, etc.) and will save you time because you won't need to enter contact information next time you'd like to donate. The system will not save credit card information unless you ask it to. Skip this section if you prefer not to have an account. Thank you!


Billing Information


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NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

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