Friends of Gandy Dancer Trail Household Century Membership Form Household Century Membership After completing this form you will be redirected to PayPal to pay $185.00 for the Household Century Membership. Included in the membership: Two(2) WI State Trail Passes Two(2) Friends t-shirts Two(2) Water bottles Items will be sent to the address included in the membership form. This membership includes the whole household. We only request two names.Today's Date* MM slash DD slash YYYY Name* First Last Phone*Email* Additional Member* First Last PhoneEmail Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code T-Shirt Type* Unisex Women's Cut (runs small, order one size up) Size* Small Medium Large X-Large Second T-Shirt Type* Unisex Women's Cut (runs small, order one size up) Second Shirt Size* Small Medium Large X-Large After clicking submit you will be redirected to PayPal to make the payment. Payment can be made by credit card or PayPal account. Annual memberships run from Jan 1- Dec 31. Your privacy is important to us. We do not share your personal information. All donations are tax deductible as allowed by law. Friends of Gandy Dancer State Trail is a registered 501c3 nonprofit organization.EmailThis field is for validation purposes and should be left unchanged.