Complete and submit the form below (all fields are required), then send your membership dues to:

The Eyes of Paint Branch
1258 Cavendish Drive
Silver Spring, MD 20905

* Please enter the individual or household name this membership will be under

* Name

Address

City

State Name

Zip Code

Phone

Email

All memberships are good for one year. Membership dues are billed annually.

Household $25

Individual $15

Student free**

**Students receive their membership free with 6 hours of community service.

I would like to help the Eyes of Paint Branch by:
(check all those that apply)

Education Committee

Letter Writing

Making a Donation

Monitoring Government and Development Activities Involving the Watershed

Newsletter Committee

Newsletter Distribution

Stream Monitoring

Testify at Public Hearings

Other