PRESERVATION HOWARD COUNTY

MEMBERSHIP

 

To join Preservation Howard County, please fill out and

 print this form and mail it to:

Preservation Howard County

P.O. Box 406

Simpsonville, MD  21150

 

 

 

       $500  Benefactor                                          $25    Individual

      $250  Supporter                                            $20   Student

      $100  Sponsor                                                $20   Senior

      $  50  Patron                                                   $35  Family

      $100 Corporation                                         $35  Organization

 

Name:  ______________________________________________________________

 

Address:  ____________________________________________________________

 

City:                                                        State:                           Zip:  ___________

 

Email:   ______________________________________________________________

 

Phone Number: _______________________________________________________

Copyright (C) 2015 Preservation Howard County