[OPPORTUNITIES] [MEMBERSHIP BENEFITS]

Friends of Seguin Island

Donation Form

72 Front Street, Suite 3
Bath, ME 04530
(207) 443-4808

To the Friends of Seguin Island, I donate $____________ to the

NAME (s):  ___________________________  TELEPHONE: (______)_________________

ADDRESS:  _________________________________________________________________

CITY:  ________________________________  STATE: ________________  ZIP: ________

EMail*:____________________________________________

Enclosed is my/our contribution for the Friends of Seguin Island, a non-profit corporation, for the purpose
 of maintaining, restoring, and preserving Seguin Island and its historic structures.

Enclosed is my check or I have indicated my credit card payment choice below.

            VISA or MasterCard Credit Card # _____________________________________________

            Expiration Date: ____________

I would like to receive a Friend of Seguin decal.  

THANK YOU VERY MUCH FOR YOUR SUPPORT!

*FOSI does not share or sell member or donation information.