and DONATION FORM
Please print screen and mail to:
207 Seneca Creek Road
West Seneca, NY 14224-2347
Membership fees are due & payable as of March 1st each year!
Single Membership - $15.00 Annually
Family Membership - $20.00 Per Family
Single Lifetime Membership - $200.00
Family Lifetime Membership - $250.00
Thank you for your interest!
Application on next page..
New York State Covered Bridge Society
City / State / Zip: ______________________________________________________
Or Country Postal Code: ________________________________________________
Total Fee enclosed: $
Any monies above membership fees shall be considered a donation.
All donations are deductible, we are a 501(c)(3) Chartered Charitable Organization