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Membership

Apply or Renew Your Membership

Join Indiana's only DOE-designated Clean Cities and Communities coalition. Fill out the form below and submit your payment to get started.

Download or Apply Online

Download the membership application and return it via email or mail, or fill out the online form below.

Download Membership Form (PDF)

How to Apply Online

1

Fill out the membership form below completely.

2

Click Submit to send your application to Drive Clean Indiana.

3

Select your membership level using the Givebutter widget below and submit your payment.

Membership Application

Name(Required)
Address(Required)
Secondary Contact Information
Membership Level(Required)

Submit Your Payment

Once your application is submitted, select your membership level below and complete your payment through Givebutter.

Membership Levels

Diamond

$10,000

Platinum

$5,000

Gold

$3,500

Silver

$2,000

Bronze

$1,000

Associate

$500

Individual Supporter

$50

Submit Payment via Givebutter

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