FARRINGTON'S GROVE HISTORICAL DISTRICT, INC.
MEMBERSHIP DUES REMITTANCE FORM
CALENDAR YEAR 2014

Name(s):

Address:

Telephone:

E-mail:

 

 

 

 

 

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

Regular Membership - $24.00 

Corporate Membership - $100.00. Available for businesses and organizations only. 

Benefactor Membership - $200.00 

Please send your Remittance Form to FGHD, Inc., P.O. Box P.O. Box 9281 , 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.