Kirkland Heritage Society Printable Membership Form

                  January 1 - December 31        Revised 03/19/2011
Check One: Membership Type: Amount
Senior / Student $20.00
Individual $25.00
Family $30.00
Supporting $100.00
Lifetime $1,000.00
Organization $100.00
Professional/Business $125.00
Corporate $250.00
Additional Donation $
Total Enclosed $
If your firm matches contributions, please attach the signed company form.  KHS is a 501(c)(3).

Checks to be made payable and mailed to:
Kirkland Heritage Society
203 Market Street, Lower Level
Kirkland, WA  98033  

Resource Center Phone:  (425) 827-3446

Email: Help-line@kirklandheritage.com

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