MEMBERSHIP APPLICATION

HELLENIC HERITAGE INSTITUTE

MEMBERSHIP APPLICATION DUES

q I would like to become a member of the H.H.I. Enclosed please find my check in the amount of $__________.

q I also pledge an additional annual donation of $____________per year.

q I do not wish to become a member of H.H.I. at this time, but I would like to receive information regarding upcoming events.

ANNUAL MEMBERSHIP:

q Single: q$60.00 qFamily $80.00 qAnnual Donation__________

Name: _______________________________________________

Address: _______________________________________________

Telephone (work): ______________________________________

Telephone (home): ______________________________________

e-mail address: ______________________________________

I am interested in volunteering in the area(s) of:

____________________________________________________________

PLEASE RETURN THIS FORM TO:

Hellenic Heritage Institute