Organization:*

AHS Contact First Name:* Last Name:*
(may be the President, Executive Director or specially designated member)

Address1:*

Address2:

City/State/Zip:*

Phone:

Fax:

Email:
Please enter your email address if you wish to get an email confirmation of your membership.

Web Site:
Please enter beginning with http://.

Name of Newsletter:
Don't forget to add AHS to your distribution list.

Please list the email or street address where the following publications should be sent (if different from the organization's main address). Use the links for each publication if you want further information.

Capitol Trails Broadcast email:

Alliance Loop email:

Newsletter Editor email:

American Hiker magazine:
(mailing address)

Mission Statement:

Does Your Organization (please check all that apply):

Membership Size:

Geographic Area Covered:

Primary Trails(s) Managed, Maintained or Used:

Number of Miles and/or Acres of this Trail or Land Area:

II. Membership Levels
Basic Alliance membership dues are $50 annually. Please consider increasing your organization's support to help keep the hiker's voice in Washington, DC strong and effective.

$50 Alliance Member
$100 Maintainer
$250 Steward
$500 Overseer
$1000 Benefactor
$ Other Amount

Please review your form entries above.