Membership Application
John C. Evans Project Inc.
19 Yarnell Ave Milltown, NJ08850
Phone 732-828-3275 or 732-253-0287
“Partnering to Protect”
Email: EvansForney@aol.com
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 for historic
preservation and protecting the quality of life and small town character in
Milltown.
Signature ________________________________________________
Date ___________________________