Membership Application
Please copy this Application Form into the body of the email at bottom, and fill in your information.
Name: _______________________________________
Address: ______________________________________
______________________________________
Phone number: ________________________________
Email address: _________________________________
Our Charter Membership Program
Join by July 4th, 2010, and receive full membership for 2 YEARS at the price of 1!
Please X your selection(s):
[ ] Business Membership $75
[ ] Individual Membership $35
[ ] Family Membership $50
[ ] Students (under 22) / Senior Membership$20
[ ] I would like to make a voluntary tax-deductible donation of
$ ________________________
Make tax-deductible checks payable to:
Venice Heritage Foundation
Post Office Box 1116
Venice, CA 90294
Tax ID# EIN 39-2063873
I would be interested in volunteering for the following:
[ ] Renovation of Red Car
[ ] Fundraising
[ ] Public Relations
[ ] Museum Docent
[ ] Education & Student Outreach
[ ] Community Awareness
[ ] Volunteer Coordination
[ ] Archiving
[ ] Membership Development
[ ] Corporate Sponsorship
For inquiries, questions, membership application or comments: