Friends of Harkness Membership

Friends of Harkness Membership
Check one
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
We are a non-profit, charitable organization. We gratefully accept your annual membership contribution, as checked below. Make checks payable to Friends of Harkness M.S.P., Inc. Do not send cash. Your contributions are fully tax deductible
Gift Recipient Name

First NameLast Name
Gift Recipient Email
example@example.com
Help Friends of Harkness go Green: I wish to help save FOH resources by receiving my newsletter the Eolian electronically:
Of the following areas for which you would like to volunteer, and a member of the Board of Directors and/or committee will contact you to make arrangements that are compatible with your schedule.Thank you for your interest and assistance! (Check all that apply)

Other

Individual

Includes one vote at the Annual Meeting and free or reduced fee at events.

$35.00

Family

Includes two adults, and children under 18 years old. Two votes at the Annual Meeting and free or reduced fee at events.

$50.00

Supporter

$100.00

Benefactor

$250.00

Total