MEMBERSHIP APPLICATION – ELMWOOD CEMETERY
SOCIETY
ANNUAL MEMBERSHIP CATEGORIES & DUES:
(1) INDIVIDUAL @ $50
_________ (2) FAMILY @ $100
_________ (3) PATRON @ $250 _________
(4) EPITAPH @ $500
___________ (5)
DIAMOND MEMBERSHIP $1,000
______________________
LAST NAME:
___________________ FIRST NAME:
___________________ MR / MRS / MS.
________
ADDRESS:
______________________________________________
APT / SUITE NO. _____________
CITY, STATE & ZIP CODE
(+4) __________________________________________________________
HOME PHONE: (_____)
_______________ BUSINESS PHONE:
(_____) ________________________
E-MAIL ADDRESS:
____________________________________________________________________
FAMILY SURNAME:
___________________________________________________________________
OTHER INTEREST IN THE
CEMETERY:
___________________________________________________
____________________________________________________________________________________
SIGNATURE:
_________________________________
I am available for volunteer
hours ________________, work days on the grounds ___________________
To work in the office:
_______________, to work on the computer for genealogy ____________________
Serving on the Board of
Trustees, or as a member of a committee _______________________________
If you have renewed your membership for 2007,
thank you for your confidence and support.