Yes, I'd like to
join!
Please print this page, fill out the details, and mail
to:
Friends of Hart Park
PO Box
220418
Newhall, CA
91322
Name________________________________________
Address______________________________________
City___________________State____ZIP____________
Phone
# ______________________________________
e-mail
______________________________________
| _______ | Senior | 15.00 |
| _______ | Volunteer | 25.00 |
| _______ | Individual | 35.00 |
| _______ | Family | 40.00 |
| _______ | Sponsor | 75.00 |
| _______ | Patron | 125.00 |
| _______ | Silver | 250.00 |
| _______ | Gold | 500.00 |
| _______ | Diamond | 1000.00 |
| _______ | Corporate | 2500.00 |
___ I have included an extra tax deductible contribution of $______