MEMBERSHIP APPLICATION

and DONATION FORM


Please print screen and mail to:


Reid Bader

Treasurer, NYSCBS

207 Seneca Creek Road

West Seneca, NY 14224-2347

Membership fees are due & payable as of March 1st each year!

Membership Fees:

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

Membership Application


NAME(S):  ___________________________________________________________


                    ____________________________________________________________


                    ____________________________________________________________


                    ____________________________________________________________


                    ____________________________________________________________


ADDRESS:  ___________________________________________________________


                      ___________________________________________________________


City / State / Zip:  ______________________________________________________

Or Country Postal Code:  ________________________________________________


How did you find out about us? ____________________________________________

Total Fee enclosed:    $                                     

Any monies above membership fees shall be considered a donation. 

Thank you.

All  donations are deductible, we are a 501(c)(3) Chartered Charitable Organization

 

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