FRIENDS OF HARMON FIELD

Registration Form


Please fill out the information below. This form may be used for New Registration, Renewing Registration, and/or Agreeing to help with Committees, Projects, or other Activities of the Friends of Harmon Field.

Date:

-- mm/dd/yy

Please provide the following contact information:

* Required Fields

First Name*
Last Name*
Street Address*
Address (continued)
City*
State/Province*
Zip/Postal Code*
Country
Work or Cell Phone* Put N/A if you do not have one
Home Phone*
E-mail* Put N/A if you do not have one

Choose one of the following options:

Individual: $5
Family: $10
Supporter: $50
Benefactor: $75
Organization: $100

Please notify me whenever FOHF is doing something.

Request Notification

Please contact me by, (select any that you desire):

Phone
E-mail
Mail

I am willing to volunteer for FOHF Special Events, if available.

Yes No

I am willing to serve on any of the following FOHF Committees:

Bark Patrol     Event Planning  Garden          Landscaping   
Projects        Publicity       Recruitment     

I would like to make a donation to the following projects:

Family Fun Park             Landscaping Project         Miniature Golf            
Renovation of Open Air Gym  Splash Pool                 Swimming Beach          Camp Scholarships
Tennis Courts Resurfacing          Walking Track Extension     

To pay your Membership Dues on-line, use the PayPal option below. To make a payment by check, please mail your Membership Dues to:  Friends of Harmon Field; P.O. Box 44, Lynn, NC 28750. Donations through PayPal are tax-deductible.

 

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Friends of Harmon Field
Copyright 1999 [Friends of Harmon Field]. All rights reserved.
Updated: December 31, 2009