Friends Application Form – HTML

I would like to become a member of the Friends of the Coronado Historic Site organization

Please print out this form and fill in the blanks.  (check the membership category).

Individual – $30 annually                         [___]

Individual Senior 60+ – $25 annually        [___]

Family/Dual – $40 annually                     [___]

Senior Couple – $35 annually                  [___]

Supporter – $150 annually                      [___]

Name_____________________________________________________________

Address___________________________________________________________

City______________________________________State____________________

Zip________________Phone__________________________________________

E-Mail____________________________________________________________

Please send the application form with a Check or Money Order and mail to:

FRIENDS OF CORONADO HISTORIC SITE

485 KUAUA ROAD

BERNALILLO, NM 87004

Questions? Contact:

Email:  friendsofchs@comcast.net

Telephone: 505-771-0416

 

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