BECOME A MEMBER
Contact Information
Primary
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Secondary
First Name
Last Name
Relationship
spouse
daughter
son
mother
father
grandmother
grandfather
sister
brother
friend
other
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you renewing your membership?
*
yes
no
SELECT YOUR MEMBERSHIP LEVEL
*
Friend $38
Household $70
Out of Town $50
Contributor $135
Supporter $275
Donor $500
Patron $1,000
Benefactor $2,500
Leader $5,000
Visionary $10,000
Method of Payment
Square (Credit Card)
Cash
Check
Venmo (@Green_Hill)
Gift membership
Other
To ensure 100% of my donation supports GreenHill, I agree to payment of a 5% credit card fee.
*
yes
no
Fee
total + fee
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