American Dream Coalition Membership Form

If you would like to be more effective in protecting the future of your community, use this membership form to join the American Dream Coalition. If you have any comments or suggestions, you can include them below or email them to the Coalition.


I/we want to join the American Dream Coalition as a:

I would like to order a copy of The Best-Laid Plans (member price: $15, non-member price: $22.95)

I would like to order a Guide to the American Dream CD ($5)

I would like to order a Rail Disasters 2005 CD ($10)

I would like to order Preserving the American Dream conference DVDs ($5 each, list year and session numbers in comments below)

I would also like to contribute

I/we will pay by Check or by PayPal.

All prices include shipping. We will include an invoice with your order. If you pay by check, please make checks payable to "American Dream Coalition" and send to:
ADC, 3711 NW 59th Place, Gainesville, FL 32653.

If by PayPal, direct payment to american@americandreamcoalition.org.

Name:
Organization:
Address:
City: State: Zip:
Phone: Email:

If you join as a full, contributing, or sustaining member, give us your web address, we will include a link to your web site on our members page.
Web site:

I would like to make the following comments or suggestions: