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

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

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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

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If you do not wish to fill out the form above, download the membership application and return it via email.

Download Membership Form (PDF)

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