__ YES, I (we) will join as charter members in the Kernstown Battlefield Association. I understand that my tax-deductible contribution will be used for the purchase of the Kernstown Battlefield acreage.
Name____________________________________________________________
Address__________________________________________________________
City______________________ State_________ Zip Code__________________
Please Choose from the Annual Dues Categories Shown Below. Your generousity is appreciated, especially now, at this critical juncture. You may change your membership level from year to year.
__ Founder - $1,000 - This can be paid in installments if preferred
__ Defender - $500 - This can be paid in installments if preferred
__ Sustainer - $250
__ Benefactor - $100
__ Patron - $50
__ Individual - $25
__ Student - $25 (under age 18)
Amount Enclosed: $ ___________________
To make arrangements to pay your membership in installments, contact the KBA at kba@kernstownbattle.org
Please make check payable to KBA and send with this form to:
KBA, P.O. Box 1327, Winchester, VA 22604
You will receive a receipt acknowledging your contribution. The KBA is recognized as a 501c3 non-profit organization.
Thank you for your generous support of the Kernstown Battlefield Association!