Please print this page, fill it out,  and mail it with your check to:

Chatham Citizens for Effective Communities

PO Box 412

Pittsboro, NC  27312

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Chatham Citizens for Effective Communities Donation Form

 This Donation will support (check one)

-  CCEC, Inc.  The advocacy/legislative group is proactive and speaks out on issues of concern throughout the County and works to promote well-planned conservative growth, protection of our natural resources and diverse culture.

- CCEC - The Institute, Inc. (tax deductible) The Institute is the educational arm of the organization and accomplishes this mission by conducting seminars, forums and courses.

Enclosed is my donation of:

            ____ $25  _____ $50 _____$75  ____$100  ____$250   other amount _______

(Please Print Clearly)

 Full Name                                                                                                       

Home (mailing) address                                                                                                 

City                               State             Zip                 

Email address ________________________________

Telephone number ____________________________________

-  Contact me about volunteering

-  Add my name to the emailing list