Application for Annual Membership

 

For the

 

Historic Restoration Trust The Kingsland Manor

 

Kingsland Manor

3 Kingsland St., Nutley, NJ 07110

Kingslandmanor.org

973-661-3410

 


I (we, please print your full name(s) here)

Wish to apply for membership in the Historic Restoration Trust.

 

Annual Membership type selected:

Regular Member Individual $10

Regular Member Couple $15

Student or Senior (62+) Member $ 3

Sustaining Member(s) $25 or more

$

 
 


Donation based on Membership type above:

 

Sign & Date Here:

DATE: / /20

Address:

 

 

City:

 

 

State, ZIP:

 

 

Phone number:

 

 

Email:

 

 

I wish to volunteer my services, please contact me.

 

Please send meeting minutes to me via email above or via U.S. mail to address above.

 

Please make checks payable to: The Historic Restoration Trust

 

Mail checks to: ATTN: Membership, Kingsland Manor, 3 Kingsland St., Nutley N.J. 07110

 

Note: Membership fees and donations are tax deductible.

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