[OPPORTUNITIES] [MEMBERSHIP BENEFITS]
MEMBERSHIP APPLICATION
Please print out and mail this form to: NAME(s): _________________________________________________ TELEPHONE: (____)___________ ADDRESS: ______________________________________________________________________________ CITY: ___________________________ STATE: ____ ZIP: ________ EMAIL:_______________________ Enclosed is my/our contribution for a new membership in the Friends of Seguin Island, a nonprofit corporation organized for the purpose of maintaining, restoring, and preserving Seguin Island and its historical structures.
FIRST MATE (16 AND YOUNGER) $10 ____ CAPTAIN $30 ____ SEGUIN FAMILY $55 ____ ASSISTANT KEEPER $100 ____ LIGHTHOUSE KEEPER $250 ____ ADDITIONAL DONATION $________
My check is enclosed or my credit card payment choice is indicated below: VISA or MasterCard Credit Card # _____________________________________________ Expiration Date: _______________ Signature_____________________________________ Please check here if you would like to receive a Friends of Seguin Island decal: _______ The Friends of Seguin Island is a nonprofit 501(c)(3) IRS tax-exempt organization (Federal Identification Number 01-0420547). No goods or services were provided in exchange for your membership contribution. © Copyright 2000- 2007, All Rights Reserved Friends of Seguin Island.
THANK YOU VERY MUCH FOR YOUR SUPPORT!