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)