Mount Diablo Interpretive Association
Membership Application 

Membership Dues are Deductible to the Full Extent by Law 

Membership Category (check one)           Make Checks Payable to “MDIA”

 _____Student/Senior    $15            Clip and Mail to:
                                                        MDIA,  P.O. Box 346, Walnut Creek, Ca 94597
_____ Individual             $25           

_____ Family                 $40             Donation in addition to membership fee:    $_______                                                                         
_____ Contributing        $100

_____ Lifetime               $500

Name____________________ E-mail____________________     

Address _________________  Telephone_________________

City/State/Zip_______________________________________

Questions? Contact us by email