Heritage League of Pierce County
PO Box 2361 . Gig Harbor . Washington . 98335 . info@piercecountyhistory.org
Copyright 2007

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Heritage League of Pierce County
2008 MEMBERSHIP APPLICATION

>>New and Renewing Members<<


2008 Annual Dues
(now through December 31, 2008)

          $ 20.00 - Heritage Organization                New                    Renewal

_____ Please check here if your organization has 501(c)(3) status  

          $ 15.00 - Individual Affiliate                       New                    Renewal

Please make checks payable to Heritage League of Pierce County and mail to:

HLPC, P.O. Box 2361, Gig Harbor, WA
98335. Please retain a copy for your records.

Organization Name:                                                                                                                                        

Organization Contact:                                                                                                                                        

Organization Mailing Address:                                                                                                                            

Telephone/Fax:                                                                                                                                                  

E-Mail Address:                                                                                                                                                 

Website:                                                                                                                                                          

Official Contact:                                                                                                                                              

Mailing Address:                                                                                                                                                

Telephone/Fax:                                                                                                                                                  

E-Mail Address:                                                                                                                                                 

Alternate Contact:                                                                                                                                          

Mailing Address:                                                                                                                                               

Telephone/Fax:                                                                                                                                                  

E-Mail Address:                                                                                                                                                 

Please provide two contact names: one being the official decision-making contact plus
one representative who will receive and respond to e-mail, notices, agendas, calls for action, etc. 

Thank you.

Questions?

Contact the HLPC Treasurer at 253.858.6722
or e-mail: info@piercecountyhistory.org


Heritage League of Pierce County is a registered 501(c)(3) nonprofit corporation.