Courtesy on the Road
Adult Sign-up and/or Donation Form

Name
Address 1
Address 2
City/State/Zip
E-mail
License Plate #
(very important!)
License Plate #
(2nd car)
School I support
Please send me no magnet (already have one)
1 magnet 2 magnets a curriculum
I would like to volunteer in the following way(s) Be a Parent Rep at the above school
Be a Sheldon-Sighting spotter
Approach local businesses or organizations for prizes and/or donations
Speak on behalf of Courtesy on the Road or arrange meetings for speakers
Help with database or other office work
Help out at events such as Battle of the Bands or other events
Help raise funds for Courtesy on the Road
other (specify below)
Questions or comments
Amount of Donation
If you send a check through the mail, please make it payable to Courtesy on the Road and mail it to
Courtesy on the Road, Inc. 8775 Cloudleap Court, Suite P63, Columbia, MD 21045.