Name _______________________________________________________________
Address _____________________________________________________________
City, State, Zip________________________________________________________
Email address ________________________________________________________
Type of Membership (Annual)
r
General
$ 35.00
Benefactor
$
60.00
Is this a renewal membership?________
Please accept my additional gift of
$_________
Please accept my additional donation for Save Myer's Hill
$_________
Total Enclosed
$_________
Or to purchase the "Save Myer's Hill" T-shirts by credit card through a secure
site: T-Shirt Order Form
Join SBEA - Membership
To make donations by credit card through a secure site:
