Supporter – Individual

$25

Every year
January – December

Name(Required)

First Last

Email(Required)

Phone(Required)

Please confirm the billing address is the same as the mailing address - If not please provide the mailing address(Required)

YES

Billing Address(Required)

Street Address Address Line 2 City Province Postal Code

Mailing Address if different from Billing address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Waiver of Liability and Assumption of Risk(Required)

Yes, I have read, understand and accept the MTA waiver of liability and assumption of risk

I acknowledge that activities; which may include but are not limited to any or all of activities such as hiking, skiing, snowshoeing, cycling, trail work, and/or trail related maintenance, in which I am participating in, involves risks which are beyond the control of the MTA. Notwithstanding the acknowledgement of such risks, I hereby release the MTA, from all claims for damage however so arising as a result of our participation in this and any other activity organized by the MTA. I agree to pay the cost of the emergency evacuation of my person and belongings that may be necessary. I affirm that I am aware of the nature of the activity, its length, duration, degrees of difficulty, and that I am properly equipped and physically able to participate. I have no medical or other condition which might preclude my participation. I agree to follow the directions of the leader and any assistants at all times.

Suporter-Individual

Price:

Donation

As you renew your Annual Maitland Trail Supporter Dues, please consider adding a small extra donation to help us maintain, protect, and improve the trails we all love to explore. Please enter your donation value below:

Total

Payment Option- Choose ONE Option Below:(Required)

E-Transfer (accounting@maitlandtrail.ca)

PayPal (through your PayPal account send to Maitland Trail Association)

Cheque (by Mail- Payable to Maitland Trail Association- PO Box 443 Goderich, ON, N7A4E7))

Credit Card (enter information below)

Please Select how you will be paying. For Credit Card- please enter payment details below. For PAYPAL-

Credit Card

American Express

Discover

MasterCard

Visa