Friends of Roseville's Harriet Alexander Nature Center

(FORHANC)

Printable Membership Application

 

Please mail this form and your check, payable to “FORHANC,” to:

 

                                                                                                                                                      FORHANC

                                                                              2520 N. Dale Street

                                                                              Roseville, MN   55113

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Please check your membership choice

                

Individual  Membership	Family Membership
r  $25  Chickadee	r  $35  Blue Jay
r  $50  Cardinal	r  $75  Oriole
r  $500 Individual Lifetime	r  $750 Family Lifetime
Corporate Membership
r  $250 Eagle (Corporate)	r  Other Donation                    $ _________
r  $1000 Corporate Lifetime

                                                                                    

                                                                                                                                                        

Name(s)	Phone
Address	City
State and Zip code	E-mail

Thank you in advance for your support.

 FORHANC is a 501(c)(3)nonprofit organization. Your gift is tax deductible to the extent of the law.

 

For any questions, contact Membership Chair: Jim Schneider, (651) 489-5964,

or e-mail: friends@forhanc.org       Visit us on the web at:  www.forhanc.org