The Lincoln Group: Membership and Donations - Combined Form

Membership and Donations - Combined Form

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New Application Membership Renewal	Date (mm/dd/yy)

	Annual Membership*	Lifetime Membership
Individual Family Full-Time Student Lincolnian Magazine, Only**	$30 $45 $ 8 $15	$400 (Includes family at the same address)

Name:
Address:
Apt:
City:
State:
Zip:
	New address (Renewing members)
Phone:
Email:

You may also contribute to one or both of the following tax-deductible funds:

Landes Fund:	Finances the guest speaker at the annual Lincoln Birthday Banquet.
Contribution:	$

Birely Fund:	Finances seven guest speakers throughout the year.
Contribution:	$

Total amount enclosed: $

Please make your check payable to LGDC, and mail it and this form to:

	LGDC P.O. Box 5676 Washington, D.C. 20016

*	Membership is by calendar year (January 1 - December 31).
**	For those who live outside the Washington, D.C., area.

Last Update or Review: 12/14/09
Copyright 2003-2009 by The Lincoln Group of the District of Columbia, Inc.