Check One: |
Membership Type: |
Amount |
|
Senior / Student |
$20.00 |
|
Individual |
$25.00 |
|
Family |
$30.00 |
|
Supporting |
$100.00 |
|
Lifetime |
$1,000.00 |
|
Organization |
$100.00 |
|
Professional/Business |
$125.00 |
|
Corporate |
$250.00 |
|
Additional Donation |
$ |
|
Total Enclosed |
$ |
If your firm matches contributions,
please attach the signed company form. KHS is a 501(c)(3). |
Checks to be made payable and mailed to:
Kirkland Heritage Society
203 Market Street,
Lower Level
Kirkland, WA 98033
Resource
Center Phone: (425) 827-3446
Email: help@kirklandheritage.org
Name____________________________________
Address__________________________________
City_____________________State____Zip_____
Phone _____________________________ Email_______________________________________ |