HARMONIE ASSOCIATES, INC.
Membership form

New Memberships _____                    Renewal _____

Student - $15  
Individual - $25 
Family/Grandfamily- $40     
Friend- $100

Patron - $250                                
Benefactor- $500

Sustaining- $1000

  

PA Heritage Magazine - $22.00 - only in combination with a Harmonie Associates' membership. (PA Heritage Magazine is included with Patron, Contributor and Benefactor membership benefits.)

Tax-deductible donation to the Harmonie Associates, Inc. $___________
Total Enclosed: $___________
Make checks payable to Harmonie Associates, Inc.
Mail to: Harmonie Associates, Inc. 270 Sixteenth Street,
Ambridge, PA 15003


Please print.

Date_____________________________________________

Name____________________________________________

Address__________________________________________

City_____________________________________________

State_______________ Zip__________________________

Phone___________________________________________

Visa/mc#________________________________________

Exp. Date________________/________________________

Signature_________________________________________

Print Membership Form