Bonnet House Museum & Gardens, Volunteer Application Form

MEMBERSHIP & DONATION FORM
Sign up HERE and be a Bonnet House Member or Donor!

Please fill in the following form. Thank you for your support of Bonnet House Museum & Gardens.
Direct any questions to our Director of Development Patrick Shavloske at 954-563-5393 x140 or at patrickshavloske @bonnethouse.org.

FILL IN THE ITEMS THAT APPLY
This form is for both NEW and RENEWAL Memberships & Donations

* MARKED ITEMS ARE REQUIRED

Name/Names: *
Company Name (for Coporate Membership):
Address: *
City & Zip Code: *
Contact Name (for Coporate Membership):
Daytime Phone: *
Contact Fax:
Contact E-mail: *
TYPE OF MEMBERSHIP OR DONATION
GENERAL MEMBERSHIP	Individual Level $55 Couple's Level $90 Parrot and Family Level $125 Monkey Level $250 Swan Level $500 Golden Shell Level $1,000

CORPORATE MEMBERSHIP	Small Business $150 Swan Corporate Level $500 Golden Shell Corporate Level $1,000

FINE ARTIST MEMBERSHIP	Fine Artist $70 Fine Artist Couple $105

ALLIANCE MEMBERSHIP	Individual $55 Couples $90

PRESERVATION SOCIETY	Preservation Society $55 Preservation Society Couple $90

DONATION AMOUNT
TYPE OF MEMBERSHIP
Card Type: *	Visa MC Discover Amex
Card Number: *
Expiration Date: *
Cardholder Name: *
Cardholder Phone: *

NOTE: Bonnet House does not provide lists of subscribers names, addresses, or email addresses to any other organizations. Your information provided here is only for use in Bonnet House mail, and email contacts and to provide you with information about our events and activities. Privacy is most important to us. If you feel you have ever received a message from us in error, please contact LindaShaller@bonnethouse.org to advise us.