CHARGE Membership Form

You may use this form to express your interest in participating in CHARGE, although membership dues must be mailed in. Membership dues are as follows: Platinum (Family Membership) $150.00 Gold (Individual) $100.00 Silver (Individual) $50.00 Bronze (Individual) $25.00 Additional donation are gratefully accepted Please make checks payable to CHARGE, Inc. and mail them to: George Juergens, Treasurer 185 Blacksnake Rd. Elkton, MD 21921 along with your name, street address, phone, and e-mail address. Members are encouraged to participate on a committee or volunteer for topics that they can help with.
About Yourself
	Name:
	Address:
	Phone:
	E-mail:
Interest
		Potential Monitor Committees: County Commissioners Planning Commission Board of Appeals Board of Realtors Chamber of Commerce WILMAPCO Potential Development Committees: Schools & Education Safety (fire, emergency, police) Water & Sewer Storm Water Runoff Taxes Recreation Development Density & Zoning Industrial & Commercial Historic Property Relation & Coordination with County Comprehensive Plan Other area of interest:

E-mail Us || Membership Form || Cherry Hill Alliance for Responsible Growth and Expansion|| Page revised: January 5, 2006