LandmarkMembership Form
I(We) want to support the historic preservation
efforts in Bowling Green and Warren County
Regular- Individual
$15.00
Regular- Family
$25.00
Regular- Supporting
$50.00
Regular- Sustaining
$100.00
Corporate - Active
$150.00
Corporate - Patron
$250.00
Corporate - Donor
$500.00
Corporate - Benefactor
$1000.00
Name:
Address:
City:
State/Prov:
Country:
Zip/Post. code:
Phone:
E-mail:
I HAVE ALSO ENCLOSED $__________ TO SUPPORT THE IRENE MOSS SUMPTER PRESERVATION ENDOWMENT FUND.
PRINT THIS FORM AND SEND WITH CHECK TO:

LANDMARK ASSOCIATION
P.O. BOX 1812
BOWLING GREEN, KENTUCKY 42102-1812

(MAKE CHECK OUT TO THE ABOVE ADDRESS)