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Enrollment Form/Invoice for Participation in
California Countryside™ Coalition

This application form is for use only by non-profit associations, museums and
educational institutions interested in participating in the promotion of rural tourism in California.

Please fill out the text boxes below and after completion, please print and mail with your payment.

Note: Please make a photocopy of the completed form; this will serve as your invoice.

Name of Contact
Title
Organization
Address
City/Town
County
Zip
Tel
Fax
Email
Website Address
 

Please indicate investment level below, based on total operating budget.
Please keep a photocopy of the completed form; it is your invoice.

Association Operating Budget Investment
under $ 1 million $ 500 per year
$ 1 million or more (but under $ 2 million) $ 1,000 per year
$ 2 million or more $ 2,000 per year
Plus    
One-time set-up fee $ 250
All Museums and Educational Institutions Investment
  $ 300 per year
Plus    
One-time set-up fee $ 250


Enclosed is a check, payable to California Countryside™,
for $
for participation in current calendar year.

Please mail check and completed form to:

California Countryside™
c/o The Fontayne Group
P. O. Box 11415
Marina del Rey, CA 90295