Name__________________________________________________ |
Student
$10 |
|
Address
________________________________________________ |
Individual
$20 |
|
City,
State ____________________________ Zip Code___________ |
Household
$35 |
|
Phone
(optional)*_______________ Email (optional)*
____________ |
Steward
$50 |
|
Please
send me information about how to volunteer |
|
Patron
$100 |
|
| *(Please
send us your email address or telephone number if
you would like to volunteer.) |
Other_____ |
|