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B.C.H.R.&L.F.
Membership
Application Name:
___________________________
Categories
of Annual Membership: Address:
_________________________ ___ Individual, $20
____________________________________________
____ Family, $25 City/State:
________________________
___ Senior Citizen (60+),
$1 Zip:___________
Phone: ____________
___ Patron, $
100
____ Corporate /
Business, $250 email:
___________________________ ___ Lifetime, $1500 Membership
contributions are tax deductible All
membership categories are entitled to
____ New Member receive
all Foundation publications.
____ Renewal Please Mail to: Membership Chairperson, BCHR&LF 1235 Third Avenue, Freedom, PA 15042 |
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