THE HARRIET TUBMAN ORGANIZATION

Membership Application

Date of application:

Name:

Address:

Telephone:

Categories:

Student $5.00/year
Individual $12.00/year
Family $25.00/year
Nonprofit $50.00/year
Small Business $75.00/year
Corporate $200.00/year
Life $500.00/year

Committees:

Your input as a member is valuable to the Organization.
Check committees you are interested in serving:

Tour
Housing
Events
Gift Shop

Membership
Budget & Finance
Executive
Fund Raising

Please print off this page using your browser and then mail your application and check to:

THE HARRIET TUBMAN ORGANIZATION, INC.
P.O. BOX 1164 * 424 RACE STREET
CAMBRIDGE, MARYLAND 21613
(410) 228-0401 * (410) 228-5641 (Fax)

WITH YOUR SUPPORT, THE HARRIET TUBMAN ORGANIZATION IS BETTER ABLE TO FULFILL ITS MISSION

THANK YOU VERY MUCH

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