Membership Application
Become A Member
of
Keep Charlotte Beautiful
Name
Address
City, State
and Zip Code
Phone #
Email Address
Level of
Membership
 Annual Dues         
Student....................  $2.00
Individual.................. $15.00
Family...................... $25.00
Business.................. $100.00
Patron.......................$500.00
Benefactor................$1000.00
Star Benefactor........$5000.00 and up
Please accept my tax-exempt donation in the amount of:
I am interested in Volunteering
for the following programs!
Board of Directors
Great American Cleanup
Committee Member
Coastal Cleanup
Litter Abatement
Committee
Adopt-A-Road
Fund Raising
Committee
Adopt-A-Shore
Beautification
Projects
Adopt-A-Highway
Student Calendar
Art Contest
Thank you for your donation!
Please Print and send form to:  Keep Charlotte Beautiful, Inc.
                                    25550 Harbor View Road, Suite 2
                                    Port Charlotte, Fl 33980

Any questions please call Glenda Anderson at 941-764-4390
Keep Charlotte Beautiful, Inc., is a private, non-profit, 501(c)(3) corporation
established in 2001 as an affiliate of Keep America Beautiful, Inc.
Great American
Cleanup  

Coastal Cleanup

Think Green Golf
Tournament

Adopt-A-Road

Adopt-A-Highway

Adopt-A-Shore

Cigarette Litter
Prevention Program

KCB Student Calendar
Art Contest

Beautification Projects

KCB Antique and
Collectibles Fair

Sponsorships

Memberships