TOR HOUSE FOUNDATION

MEMBERSHIP ORDER FORM

***  PERSONAL MEMBERSHIP CATEGORIES  ***

Please note that all paid membership dues and contributions are tax deductible.

_____ Student/Senior      $15.00         _____ Sponsor         $100.00

_____ Tor House Docent    $15.00         _____ Patron          $250.00

_____ Individual          $30.00         _____ Lifetime      $1,000.00

_____ Couple              $40.00

Your additional contribution is most welcome.

PLEASE PRINT 

NAME    ______________________________________________________________

ADDRESS ______________________________________________________________

CITY    ________________________________  STATE _____  ZIP ___________

PHONE   ___________________________   FAX  ___________________________

E-MAIL ADDRESS (if available) ________________________________________ 

Please make checks payable to Tor House Foundation and mail to: 

Membership

Tor House Foundation

P.O. Box 2713  

Carmel, California 93921  

Thank you for your support.