Please fill out the following form and mail to the address below.

  New Member    Renewal Membership

  Please check here if your address has changed

Name: Address: City: State: Zip+4: Phone:( )-( )-( )ext( ) Email:

PLEASE CHECK ONE:   Individual- $50.00               Associate - $500.00   Family - $80.00                    Business - $500.00   Sustaining - $150.00             Preservation Society - $1000.00     Contributing - $250.00

  Check Enclosed

Credit card (most major cards accepted) Card#: Exp: Signature: Memberships are tax deductible to the extent allowed by law.

 

I am enclosing an additional contribution of   $   (if appropriate, please enclose a Matching Gift form)   I would like information on gift annuities, donation of securities and planned giving.   I would like information on volunteering at Hildene.

Print this form and mail it with your payment to:  Friends of Hildene, PO Box 377, Manchester, VT   05254-0377