Sir Andrew Macphail Foundation Vernon River Post Office Vernon River PE C0A 2E0 MEMBERSHIP REGISTRATION/DONATION FORM Please make cheques for Membership/Donations to: Sir Andrew Macphail Foundation Charitable Registration Number 134630615RP0001 Membership provides the opportunity to support and enjoy a unique Island Heritage property, to express your views and exercise your vote at annual meetings, and to receive newsletters and other correspondence informing you of events, achievements, etc. Please also complete and return the volunteer form if you would like to take part as a volunteer, at the Homestead. The membership fee is $25.00 per household for one year and you will receive a charitable income tax receipt for your membership fee. Please note below the prices for two or three year memberships. One year - $25; Two years - $45; Three years - $65. Membership Year ______ New Membership: ___Renewal: ___ Name of Primary Member: _________________________________________________ Last Name, First Name, and Initials for other family members: Mailing Address: Street or P.O. Box ________________________________________________________________________ City/Town/Community, Prov./State Postal Code/Zip Code Telephone: ( ) __________________Alternate Phone: ( ) __________________ E-Mail address (es) _______________________________________________________ Donations: The Sir Andrew Macphail Foundation welcomes donations to the preservation of the Homestead, its artefacts, the grounds, the development of the gardens and grounds and the expansion of its programs. You will receive a tax receipt for your donation and for your membership fee. My donation, additional to the $25.00 membership above: $ ______________