membership form

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SETON HILL ASSOCIATION
MEMBERSHIP / DONATION FORM for year Oct 2015 – Sept 2016
$15 New Member(s)
$15 Renewing Member(s)
$30 Business Member(s)
$25 Joint household
$ ______ Donation to the Seton Hill general fund
Membership Dues are: $15 per individual member, $25 for a household with 2 voting
memberships; $30 per business; $15 special member (non-voting)
Please enclose a check made payable to Seton Hill Association, Inc. or members can also pay
online: http://www.setonhill.org/become-a-member/
Member Name(s): ______________________________________________________________
Business/Special Member Name: (if applicable): ______________________________________
Address: ______________________________________________________________________
City: __________________________State: _____________Zip: _______________
Phone Number______________________ Home/Office/Cell (Please Circle One)
E-Mail: _______________________________________________________________________
Please check applicable box: ____owner; ____landlord; ____renter; ____business;
Mail to:
Seton Hill Association, 600 N Paca Street, Baltimore, MD 21201
Now is the time to consider making a donation to the Seton Hill Association. Your donation to
SHA will be tax deductible to the extent allowed by law. Simply add your donation to the
membership fee and we will provide you with a letter confirming your donation. Thanks for
supporting your community!
Date__________________________
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