Annual Dues: (tax exempt)
Individual: $25.00
Family: $35.00
Contributing: $35.00
Benefactor: $50.00
Supporting: $100.00
Patron: $500.00
Life (payable in installments): $1,000.00
Commercial: $50.00
Memorial: $________
______New Member
______Renewing Member
______Gift Membership
Please enter my (our) membership
for (year) _________----------------------------------------
Name(s) ____________________________________________________
-------------____________________________________________________
Street Address ____________________________________________________
P.O. Box _________________________________________________________
City _______________________ State _______________ Zip Code __________
Phone Number __________________ E-mail address ______________________
Please mail check to:
Tim Holder, Membership
660 Crackel Road
Aurora, OH 44202