501 Churchville Lane
Churchville, PA 18966
215-357-4005

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Form to Add: A Transaction
Thanks very much for your interest in Churchville Nature Center!
If you are not familiar with our membership and donation options, please take a few minutes to review them before filling out this form.
Making your payment will take just a few minutes. First, we will collect information on this page for our member / donor records. Then, you will be able to access PayPal's secure donation system. Payment can be made using your credit card or your PayPal account.

*These fields are required.

Use this section to join CNC or to renew your membership.

MEMBERSHIP UPDATE

MEMBERSHIP LEVEL

Use this section to make a donation.

AMOUNT OF DONATION
$

DONATION TYPE

Use this section to pay for an activity.
Note: Children's Club and Summer Camp registrations require a form available for download in the Brochures menu, above. Please use this form rather than registering online.

ACTIVITY NAME, DATE(S),
AND PARTICIPANTS		TOTAL COST: $

Finally, please provide us with some information about you.

*FIRST NAME *LAST NAME

*ADDRESS LINE 1
ADDRESS LINE 2

*CITY *STATE *ZIP CODE-

*PHONE * * EXT

*EMAIL

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