FARRINGTONfS GROVE HISTORICAL DISTRICT, INC.
MEMBERSHIP DUES REMITTANCE FORM
CALENDAR YEAR 2006

Name(s):

Address:

Telephone:

E-mail:

 

 

 

 

 

Enclosed is my $               check payable to FGHD, Inc. for the following:

Regular Membership - $15.00 . Includes membership in Historic Landmarks Foundation of Indiana.

Patron Membership - $30.00 . Includes membership in Historic Landmarks Foundation of Indiana and two complimentary tickets for the 2006 Holiday Tour.

Corporate Membership - $50.00. Available for businesses and organizations only. Includes membership in Historic Landmarks Foundation of Indiana, four complimentary tickets for the 2006 Holiday Tour, and one free ad in the Farrington's Grove Historical District, Inc.'s newsletter during 2006.

Benefactor Membership - $100. Includes membership in Historic Landmarks Foundation of Indiana, four complimentary tickets for the 2006 Holiday Tour, and a special listing in the Farrington's Grove Historical District, Inc.'s newsletter in recognition of your special contribution to the work of FGHD.

Please send your Remittance Form to FGHD, Inc., P.O. Box 322 , Terre Haute , IN 47808

Please note that additional contributions to offset the costs of the Neighborhood Watch Program and Special Security Patrols are very welcome and extremely appreciated!

Please add a note to you Remittance Form to let us know if you are interested in serving on the Board of Directors, assisting with the Neighborhood Watch Program, or participating in any of the district events.

Thank you for supporting Farrington's Grove Historical District. Inc.