The Hudson Valley Writers' Center
Membership Enrollment / Contribution Form

Name:

E-mail: Phone:

Street Address or P.O. Box:

City: State: Zip:

Please enroll me as a member of the Writers' Center at the following level:

Basic Memberships

Individual $45
(receive regular mailings and get discounts on publications, classes and events)
Senior or Student $35 (seniors age 62 and older and students receive all individual membership benefits)

Dual $85 (receive all individual membership benefits for two people)
Family $150 (receive all individual membership benefits for the entire family)

Literary Legacy Supporters

Katrina Van Tassels $250

Ichabod Cranes $500

Brom Boneses $750

Leadership Donors

Patron $2,500

Benefactor $5,000

Founders' Circle $10,000

Lead Donor $25,000


Corporate Sponorships
Silver $1,000
Gold $2,500

Platinum $5,000
Diamond $25,000

Additional Contribution: I have enclosed an additional contribution of $ *
Contribution Only: I do not wish to be a member of the Writers' Center at this time, but I have enclosed a contribution of $ in support of your programs. *

Please print and mail this form with your check or money order payable to HVWC, or your Mastercard or Visa number and expiration date, to:

The Hudson Valley Writers' Center
300 Riverside Drive
Sleepy Hollow, NY 10591

MC or Visa # Exp Date

Donate through Network for Good* Non-membership contributions can also be made to the
Writers' Center by credit card through the
Network for Good website.

Thank you!


The Hudson Valley Writers' Center is a not-for-profit, IRC section 501(c)(3) organization. Contributions in excess of value received are deductible for Federal Income Tax purposes.

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