Pierce Downer's
Heritage Alliance
P.O. Box 422, Downers Grove IL 60515
Membership Form
Name(s):_________________________________________________________________
Street
Address:____________________________________________________________
City, State,
Zip:____________________________________________________________
Telephone: ____________________
E-Mail address: ______________________________
[ ] Check here if you would like to be
informed via email of our upcoming events.
Enclosed is my contribution of: $ ________________*
I/We can also volunteer some time:
_____________________________________________
* A voluntary contribution of $10 or more will help
the Alliance defray expenses, but is not required for membership. Your
contribution is tax deductible.
Thanks again for your interest.
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