DRAFT: MAI Membership form

Join or renew your membership
Individual membership dues are $25 per person for the calendar year. Additional donations of any amount are also greatly appreciated.

Monhegan Associates Inc. is a 501(c)(3) organization: all contributions are fully tax-deductible.
First Membership Full Name*

First NameLast Name
Second Membership Full Name

First NameLast Name
Email*
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Phone Number
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional contribution

Contributor level (+ $25)Donor level (+$50)Sponsor level (+$100)Patron level (+$500)Benefactor level (+$1000)Other
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Total Amount

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USD($25 per person for calendar year)

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Join or renew your membership