Yes, I care about the future of Daphne!  Sign me up!

     Name:  ____________________________________________________________________

     Address:  ___________________________________________________________________

     City, State, Zip ______________________________________________________________

     Email:  ____________________________________________________________________

     Phone:   ___________________________________________________________________

     Membership Levels:

     Student            $10.00                                                        Business     $100.00

     Senior (65+)    $15.00                                                        Sponsor      $250.00

     Family              $25.00                                                       Patron         $500.00 (one time)

     Non-Profit        $50.00                                                       Donation    $ ______________

     _____ I want to help as an OTDA volunteer. I have skills in the following:

     _____ I have an item or issue for OTDA attention (please attach a note).
 

     _____ Please call me. I wish to learn more about OTDA

     Checks should be made payable to:    Olde Towne Daphne Association 

                                                               P.O. Box 1022, Daphne, AL  36526