Home	Chenango Canal    Still connecting communities        You may make an on-line donation here=>

	Membership Application Name: _______________________________________________________________ Address:  _______________________________________________________________  _______________________________________________________________ Phone:  ________________________________________________________ Email _______________________________________________________________

	Annual Family............................ $25.00   Annual Individual: ......................$15.00   Business or Organization: ............$45.00

	Print and mail contributions with this page to: Chenango Canal Association, Inc. P. O. Box 125 Bouckville, New York 13310 All contributions are fully tax deductible.  The Chenango Canal Association Inc is a 501 (c) (3) non profit.