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Membership Application
 
The Dan River Basin Association is a 501(c)(3) nonprofit organization. Memberships, donations, and gifts are fully tax-deductible.
   
Name:  
Address:  
City  
State:  
Zip Code:  
Phone:  
Email:  
   
Membership category: (Choose one)

 

 

 
 
 
 

 

 
 
  *nonprofit organization or corporation having 10 or fewer members
**corporation having more than 10 members
 
  • Corporate members join as Steward (or higher), and Organization members join as Friend (or higher).

  • Each membership, in any category, is entitled to ONE vote.

I'm Interested in helping with: (Check all that apply)
  Boat Access (plan and maintain)
  Displays for Festivals and Museums (plan/staff booth)
  First Saturday & other outings (plan/lead)
  Fund Raising and/or Grant Proposal Writing
  Hiking, Biking, Riding, Portage Trails (plan/maintain)
  Hospitality and/or Office Support
  Programs for Meetings
  Publicity/ Correspondence
 
My name may be printed in the newsletter in my membership category.
   
   
Free DRBA Logo Decal (Check One):
 
 
 
  Additional decals cost $1.50 each and can be purchased from our
DRBA Store at left.
   

Thank you for taking time to complete this form and
joining the Dan River Basin Association family.

 

PAY BY CREDIT CARD

After you submit this application you will proceed to the payment section. Please click the appropriate Category Membership button.

 

PAY BY CHECK

If you don't wish to make your payment by credit card
 check the box below and make your check payable to the
Dan River Basin Association
and mail it to the address below.

 

I will be paying by check.

 

Dan River Basin Association
Suite 401, 413 Church St.
Eden, NC 27288
Phone: 336.627.6270

 

 
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Dan River Basin Association

Suite 401, 413 Church St.
Eden, NC 27288
Phone: 336.627.6270
drba.nc@danriver.org
 

Henry County
Administration Building
PO Box 7
Collinsville, VA 24078
Phone: 276-634-2545
drba.va@danriver.org

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