foundation@tileheritage.org

     
       

Annual Memberships:

    Individuals and Families:            Business Memberships:
____$ 45. Regular               ____$ 100. Centurian*
____$ 60. Supporting            ____$ 250. Sponsor   
____$ 75. Sustaining             ____$ 500. Donor      
   ____$ 150. Friend                ____$1000. Benefactor
____$ 300. Guardian                                               
   ____$ 500. Patron                 ____$ 50. Outside U.S.

All contributions are tax-deductible to the full extent allowed by law.

Name:______________________________________________

Company:____________________________________________

Address:_____________________________________________

City:_________________________ State:______ Zip:_________

Phone:______________________ Fax:_____________________

E-mail:______________________________________________

www._________________________________________________

*____ I contribute $100 or more each year. Please link my website to Tile Heritage.

Make check payable to "Tile Heritage Foundation" and mail to Tile Heritage, P. O. Box 1850, Healdsburg, CA 95448
or fax this form with your credit card number to 707 431-8455. Do not email your credit card number.

Charge my Mastercard or Visa: $________

________/________/________/________   Exp.________

__________________________________________
Signature

List my Occupation or Affiliation as   _________________________________  in the THF Resource Directory.


______ Please send information on Doty Research Grant.