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woodies Plant List and data - The Scott Arboretum of Swarthmore ...

woodies Plant List and data - The Scott Arboretum of Swarthmore ...

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Membership Application FormIf you have questions regarding joining the Associates,please call the <strong>Arboretum</strong> Offices at •610-328-8025•(email) scott@swarthmore.edu • (web site) www.scottarboretum.orgYour support is vital to the programs <strong>of</strong> the <strong>Scott</strong> <strong>Arboretum</strong> <strong>and</strong> is greatly appreciated.32Membership Application:Please print as you wish the information to appear in our records:Gift Membership:If this is a gift membership, please include <strong>and</strong> print the informationas you wish it to appear in our records:Name(s)__________________________________________________________________Address__________________________________________________________________City_____________________________________State_______Zip +4_______________Phone_______________________E-Mail_______________________________________Donor’s Name_____________________________________________________________Address__________________________________________________________________City______________________________________State______Zip + 4_______________Phone________________________E-Mail______________________________________Please indicate the membership level you’veselected:o Full Time Student $10 (copy <strong>of</strong> ID required)o Individual $40o Dual $55o Contributor $75o Sponsor $150o Benefactor $250o Patron $500o Director’s Circle $1,000o Philanthropist $3,000o Organization $125Payment Method:o Check enclosed (Payable to <strong>The</strong> Associates <strong>of</strong> <strong>Scott</strong> <strong>Arboretum</strong>)Credit Cardo VISAo MASTERCARDCredit Card #_______________________________Expiration date_____________Cardholder’s name____________________________________________________Signature____________________________________________________________Please return application form with payment to:THE SCOTT ARBORETUM <strong>of</strong> <strong>Swarthmore</strong> College500 College Avenue<strong>Swarthmore</strong>, PA 19081-1397Matching Gifts:If your company matches membershipgifts, please submit a matching gift form.Additional Contributions:I would like to make an additional contribution<strong>of</strong>: $__________ to the <strong>Scott</strong> <strong>Arboretum</strong>.Please make out a separate checkpayable to <strong>Scott</strong> <strong>Arboretum</strong>.

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