Membership Contribution Form Use your browser print button to print this form Name(s): _______________________________________________ Street: ________________________________ Town:_____________________ State: ______________ Zip ________ Membership
Types: Individual $25; Family $50; Business/Professional $100 Membership contributions are placed in our Unrestricted Fund. You may add to your membership contribution and elect one or more of our permanent funds to receive a gift. Please indicate below which fund(s) you would like a percentage of your extra gift to go. The Unrestricted Fund _____ % The General Endowment Fund _____ % The Founder's Fund _____ % The Katie Battison Memorial Scholarship Fund _____ % The Madison Beach Club Endowment Fund _____ % The Senior Council Fund _____ % The Madison Fund _____ % The Athletic Excellence Fund ____ % Thank you. Please mail to The Madison Foundation, Inc. P.O. Box 446, Madison, CT 06443, with your check. |