Please print this page and return completed form with check to:

672 11th Street, Oakland, CA 94607-3651

Please make checks payable to the Pardee Historic Home Museum, Inc.

Thank you for your support!

 

Name: __________________________________________________________

Address: ________________________________________________________

City: _______________________________ State: _____ ZIP: ______________

Telephone: ( ____ ) _____ - _______   Email: ____________________________

[ ] Individual - $35

[ ] Family - $50

[ ] Student - $15

[ ] Benefactor - $75

[ ] Patron - $100+

[ ] Sustaining - $250+

[ ] Sponsor - $500+

[ ] Visionary - $1000+

 

Amount enclosed: _________________ 

_____  My check is enclosed (Payable to the Pardee Historic Home Museum, Inc.)