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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: Single Membership - $10.00 annually Family Membership - Single Fees plus $1.00 per additional family member Single Lifetime Membership - $150.00 Family Lifetime Membership - $200.00 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: ________________________________________________ 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 |