q
I
would like to become a member of the H.H.I. Enclosed please find my check
in the amount of $____________.
q I
would like to make an additional donation in the amount of:________.
ANNUAL MEMBERSHIP:
q
Single: $60.00
q
Family: $80.00
Name:
_________________________________________________________
Address: _________________________________________________________
Telephone (work): ________________________________________________
Telephone (home): ________________________________________________
E-mail address:
________________________________________________
PLEASE RETURN THIS FORM TO:
Hellenic Heritage Institute
1650
Senter Road, San Jose, CA 95112