CARTA MEMBERSHIP FORM

El Camino Real De Tierra Adentro Trail Association
P. O. Box 15162
Las Cruces, New Mexico 88004, USA

MEMBERSHIP APPLICATION

Annual membership fees (see below) are due by January 1 each year. The fee for new members who join after July 1 will be discounted by 50% for the remainder of that year. The full annual fee will be due on January 1 for the following year.

Date: ____/____/____
New ____/ Renewing ____Member

Personal Information:

Name(s)_________________________________________________________________
Address (Street/P. O. Box)__________________________________________________
City_________________________ State______________ Zip/Postal Code ___________
Phone: Home ____________________Work (optional) ____________________
e-mail (important)________________

Annual Membership Fee:

Individual ($25) _____ Student (include ID) ($15) _____
Joint ($30) _____ Institutional/Corporate ($40) _____

I would be interested in helping CARTA by (y/n):

Serving as an officer or director ____
Serving as committee chair or member ____
Organizing tours ____
Organizing conferences ____
Developing tourism ideas ____
Locating and identifying sites ____
Contributing to Chronicles of the Trail ____
Other ____

Mail Your Check (made out to CARTA) to:

EL CAMINO REAL DE TIERRA ADENTRO TRAIL ASSOCIATION
P. O. Box 15162
Las Cruces, New Mexico 88004, USA

_______________________________________ ________________
Applicant Signature / Date