1707 L St. NW, Suite 1050
Washington, DC 20036
202-207-3355
www.smartgrowthamerica.org/completestreets
Membership Sign-up Form
Thank you for your interest in becoming a Complete Streets member! Please complete the following
information.
Organization name:
Main contact information
Name:
Title:
Street address:
City:
State:
Email:
Phone:
Zip:
Website:
Will you join as a Supporting Member? ____Yes
____No
National Complete Streets Coalition Membership Agreement
______________________________________ (organization) supports the mission of National Complete
Streets Coalition, a program of Smart Growth America, and will partner with the Coalition in the
advancement of Complete Streets policy objectives.
______________________________________
Signed
______________________________________
Printed name
___________________________
Date
Please return your completed form to:
Laura Searfoss
National Complete Streets Coalition
1707 L Street, NW, Suite 250
Washington, DC 20036
If joining as Supporting Member, please make checks payable to “Smart Growth America” and note
“National Complete Streets Member” in the memo line and mail to the address above. Donations may be
made online at http://www.smartgrowthamerica.org/complete-streets/donate.
All donations to Smart Growth America, a 501c3 (Tax ID#270038938) are tax-deductible. Please contact
Laura Searfoss at 202.955.5543 ext. 240 with any questions.