MPHDA Membership Registration Form
MPHDA welcomes your support and participation in preserving the history and character of Montrose Park. There are various levels of membership for Montrose Park Residents, as well as for those who do not live in the park. Matching funds greatly appreciated.
*
Denotes a required field.
*
Choose your present residency:
Resident of Montrose Park and would like to join as a voting member at the following level:
Live outside of Montrose Park and would like to support MPHDA at the following level:
*
Choose your membership level:
$40 Supporter
$60 Sponsor:
Promotional gift
$100 Patron:
Autographed copy of Images of America South Orange
$200 Benefactor - Please select one of the following:
Bronze Door Plaque
OR
MPHDA Umbrella
$500+ Cornerstone - Choose two:
Bronze Door Plaque
Autographed copy of Images of America South Orange
MPHDA Umbrella
Recognition in all MPHDA Newsletters
No gift option
- please designate 100% of my donation to the MPHDA.
Your info:
*
Name:
*
Address:
*
City:
*
State:
*
Zip:
Telephone:
*
Email:
Yes, I am interested in becoming more involved with MPHDA activities.
If interested in getting more involved, please select area(s) of interest.
Montrose in May Historic House Tour
Lectures
Tours
Event Planning
Volunteering at MPHDA events/activities
Public Relations
Membership Recruiting
Newsletter/Information Brochures
Mailings (labeling, sorting, envelope stuffing)
Other, please describe:
My company has a matching funds plan.
If your company has matching funds plan, please enter the name and address below:
You will have an opportunity to modify/edit this form after you click submit.
MPHDA is a non-profit, tax exempt organization under the IRS Code 501(C)(3)
