Fort Klock Historic Restoration Membership Form |
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Meetings are held the second Wednesday of each month at 7 pm
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| To the prospective member: We are pleased that you have expressed an interest in joining our organization. Below are the various classes of membership, which you should weigh against your own situation and intentions . Please select one by checking the appropriate box, sign your name at the bottom of the form, and mail with your personal check to: |
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Fort Klock Historic Restoration
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PO Box 42
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St. Johnsville, NY 13452
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| { } Junior Member : If you are between 14 & 18 years of age and wish to become involved in the activities at Fort Klock, you may participate as a non-voting Junior member. Annual dues are $2.00. |
| { } Young Pioneer: For persons 9-13 years of age who have completed the Young Pioneer program are invited to participate in all Fort Klock functions. You will receive a newsletter. Annual dues are $1.00. |
| { } Individual Supporting Member : This class is designed for those who wish to support Fort Klock but are unable to devote the time required of an active member. You are welcome at all monthly meetings, though you will not have voting rights. You will receive a newsletter. Annual dues are $15.00. |
| { } Family Supporting Member: For parents and their children who wish to support and participate in Fort Klock functions, without voting privileges or the right to hold an office. Annual dues are $20.00. |
| { } Life Supporting Member : This class of membership is designed for those who are capable and desirous of supporting Fort Klock with a large cash donation. Upon the receipt of $250.00 or more, you will be considered a non-voting Life Supporting Member for life. Attendance at monthly meetings and participation in functions will be left to your discretion. You will receive a newsletter. |
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* MEMBERSHIP APPLICATIONS MAY BE SOLICITED DIRECTLY FROM FORT KLOCK HISTORIC RESTORATION. |
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Junior, Young Pioneer, Individual Supporting, Family Supporting or Life Supporting, Class of Membership |
| Print Name: ____________________________________ Date: _____________ |
| Address: _______________________________ |
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Phone #:___________________ E-mail: ___________________ |
| Signature of Prospective Member: _____________________________________ |