| James House Association, Inc. |
|---|
| PO Box 234 |
| Hampton, NH 03843-0234 |
|
MEMBERSHIP / DONATION FORM
|
|
Name(s)________________________________________ Date______________ |
|
Address________________________________________ Email_______________ |
|
City, State, Zip___________________________________ Phone_____________ |
|
ANNUAL MEMBERSHIP CATEGORIES |
||||
| ___Individual | $ 25.00 | ___Family | $ 40.00 | |
| ___Student | $ 10.00 | ___Senior Citizen 65+ | $ 10.00 | |
| ___Contributor | $ 75.00 | ___Associate | $ 100 - $199.99 | |
| ___Friend | $ 200 - $999.99 | ___Benefactor | $ 1000 - $4999.99 | |
| ___Sponsor | $5000 and above | |||
Archaeology Clerical Work Docent Grounds Early Construction Gardening Landscape Design Genealogy Local History Publicity Early Farming Programs Acting Singing Research Lecturing Playing Historical Instruments Historical Interior Design Data Entry Access Word Excel
TOTAL MEMBERSHIP AMOUNT
$_________
DONATION
$_________
TOTAL AMOUNT ENCLOSED
$_________
Make checks payable to the James House Association, Inc. and mail to the address above. James House Association is a non-profit organization tax exempt under IRC Sec 501(c)(3). Membership dues and donations are tax deductible to the full extent provided by law.
Below is a list of some activities James house Association, Inc. offers to its members. Please circle the listed activities in which you would like to participate.