John C. Evans Project, Inc.
�Partnering to Protect�
Email: [email protected]
Please print clearly the contact information you prefer to give. Items in bold are required for membership.
Name ________________________________ Company Name (if applicable) _________________________
Address______________________________________________________
City _______________________________ State _______________________ Zip ____________________
Home Phone _______________________________ Business Phone __________________________________
Cell Phone _______________________________
Email (home) ________________________________________ Email (work) __________________________
Expertise you can offer:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
How or where did you learn of the John C. Evans Project? _________________________________________
Contributions to help with expenses are welcome!
Checks can be made payable to: John C. Evans Project, Inc.
Your signature and desire to join this group indicates your support of protecting the structures on 94-96 North Main Street in Milltown, known as the Evans/Forney Property from demolition.
Signature ________________________________________________ Date ___________________________