BECOME A MEMBER
MEMBERSHIP LEVELS

Year membership includes 1 complimentary ticket


Name __________________________________


Address _________________________________


City ____________________________________


State, Zip _______________________________


Phone___________________________________


E-Mail _________________________________


Membership Level _______________________


Amount Enclosed ________________________

Please make checks payable to:
Sagtikos Manor Historical Society
P.O. Box 5344
Bay Shore, NY 11706-5

FRIENDS OF THE MANOR
Sagtikos
Van Cortlandt
Thompson
Gardiner
Washington
$ 100
$ 200
$ 500
$ 750
$ 1,000
$ 20
$ 35
$ 10
$ 5
Individual
Family
Senior (over 65)
Student
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