Membership Form - MacPhail Homestead

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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: $ ______________
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