Last Update

6/7/2005
 
MEMBERSHIP FORM 

  Sign me up !   I want to volunteer.

My interests are:
  Senior/Student $20   Lehigh Valley Trail
  Individual $25   Mendon Station Park
  Family $40   Community Playground
  Business $50   Mendon Hamlet
  Sponsor $100   Fundraising
  Sustainer $250   Communications
  Patron $500   Open Space/Preservation
  Benefactor $1000    

Name _______________________________________________________

Address _____________________________________________________

City, St, Zip __________________________________________________

Day & Evening Phone___________________________________________

Email _______________________________________________________

Please mail checks payable to:

The Mendon Foundation

P.O. Box 231, Mendon, N.Y. 14506

Phone: 585-234-8730
@ Copyright 2002 Mendon Foundation, Inc.

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