Printable Membership Application
Please mail this form and your check, payable to “FORHANC,” to:
FORHANC
2520 N. Dale Street
Roseville, MN 55113
Please mail this form and your check, payable to “FORHANC,” to:
FORHANC
2520 N. Dale Street
Roseville, MN 55113
Individual and Family Memberships
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)
rOther Donation $ _________
r $1000 Corporate Lifetime
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)
rOther Donation $ _________
r $1000 Corporate Lifetime