Friends of the Grange, Inc.
MEMBERSHIP APPLICATION FORM


Standard Membership Privileges: Quarterly newsletters, advance notice of all Grange events and free guided tour privileges from April to October during regular tour hours. Members are invited to programs and an Annual Member's Day Dinner. Friends of The Grange provide all volunteer services.

Standard Membership
Individual—$15.00      Family—$25.00*
*Includes all members of the household

Enhanced Membership
These memberships entitle the member to tickets to the Annual Holiday Preview Party to be among the first to see the Grange Mansion decorated for Christmas.

Contributor
$50.00
(2 tickets)		 Sustainer
$100.00
(4 tickets)		 Benefactor
$500.00
(10 tickets)

Memorials
Gifts in memory of friends and loved ones are welcomed by the Grange.  Please make checks payable to Friends of the Grange, Inc. and include your name, address and telephone number so that we may acknowledge your gift.  All donations are tax deductible to the full extent of the law.

Name:   
Address:   
City:   
State:   
Zip:   
CATEGORY:   
AMOUNT: $
Extra tax deductible donation for development: $

Please make check payable to: FRIENDS OF THE GRANGE, INC.

Mail to: FRIENDS OF THE GRANGE, INC.
143 Myrtle Avenue
Havertown, PA 19083