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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 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: ________________________________________________
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 |