| James House Association, Inc. |
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| PO Box 234 |
| Hampton, NH 03843-0234 |
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MEMBERSHIP / DONATION FORM
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Name(s)________________________________________ Date______________ |
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Address________________________________________ Email_______________ |
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City, State, Zip___________________________________ Phone_____________ |
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ANNUAL MEMBERSHIP CATEGORIES |
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| ___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 | |||
| TOTAL MEMBERSHIP AMOUNT | $_________ |
| DONATION | $_________ |
| TOTAL AMOUNT ENCLOSED | $_________ |
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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. |
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| 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. | |||
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Archaeology |
Clerical Work |
Docent |
Grounds |
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Early Construction |
Gardening |
Landscape Design |
Genealogy |
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Local History |
Publicity |
Early Farming |
Programs |
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Acting |
Singing |
Research |
Lecturing |
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Playing Historical Instruments |
Historical Interior Design |
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Data Entry |
Access |
Word |
Excel |