TOR HOUSE FOUNDATION

MEMBERSHIP ORDER FORM

***  PERSONAL MEMBERSHIP CATEGORIES  ***

Please note that all paid membership dues and contributions are tax deductible.

_____ Full-time Student / TH docent $15.00         _____ Sponsor         $100.00

_____ Senior                        $25.00         _____ Patron          $250.00

_____ Individual                    $40.00         _____ Lifetime      $1,000.00

_____ Couple                        $50.00

Your additional contribution is most welcome.

 

PLEASE PRINT 

NAME    ______________________________________________________________

ADDRESS ______________________________________________________________

CITY    ________________________________  STATE _____  ZIP ___________

PHONE   ___________________________   FAX  ___________________________

E-MAIL ADDRESS (if available) ________________________________________ 

Please make checks payable to Tor House Foundation and mail to: 

Membership

Tor House Foundation

P.O. Box 2713  

Carmel, California 93921  

Thank you for your support.