Membership Form

HEALTHY HARFORD, INC.
www.healthyharford.org

Our vision is to make Harford County the healthiest community in Maryland by helping people lead more active lifestyles and improving their daily diet. We are a not-for-profit corporation as defined under the Internal Revenue Code 501(c)(3).

Name:
Address:
City:
State
Zip:
Email:

 

Individual and Family suggested donation: __$50 __ $40 __$30 __ $20
Business: $100

Please enclose your check or money order and mail to:

Healthy Harford, Inc.
15 Churchville Road
Suite 115, PMB 107
Bel Air, MD 21014