Enclosed is my contribution for:
     $15 Student/Senior*
     $25 Individual*
     $50 Supporting*
     $100 Contributing* ($100 members receive an EcoCycle T-shirt.)
     $500 Contributing* ($500 members receive an EcoCycle T-shirt and a tote bag.)
     Other: $___________*
*All members will receive a bumper sticker and a subscription to the EcoCycle Times.
Thank you, but I do not wish to receive a premium for my membership contribution.

Payment Method: Visa MasterCard Check enclosed

Card no._______________________________Exp. Date________

Signature_______________________________________________

I would like to invest in the future of recycling by remembering EcoCycle in my will. Please call me.

Please send me more information about:
Becoming an EcoCycle volunteer at the Drop-off Center or a Block Leader for my neighborhood.
Having my business join EcoCycle’s Waste Reduction Program for businesses.
Joining EcoCycle’s Voluntary Simplicity and Deep Ecology Circles.
I would like to contribute through payroll deduction. My workplace is _________________________.
  
EcoCycle is a Community Shares Agency. If your office does not have a Community Shares program, but does have a United Way program, ask for the form for non-United Way agencies and write in “EcoCycle.”

Name ________________________________________________________________________

Address ______________________________________________________________________

City _______________________________ 

State _______ Zip Code ____________________

Phone (Day) ____________________________ 

Phone (Evening) ____________________________

Thank you for your support. All contributions are tax-deductible, minus the value of premiums received. EcoCycle does not give or sell member names and addresses to other organizations. Please make your check payable to EcoCycle and return it with this form to: EcoCycle, P.O. Box 19006, Boulder, CO 80308.