The Friends of Point Betsie Lighthouse
• Membership & Contribution Form

  1. Print out and complete the following form.
  2. Make checks payable to: Grand Traverse Regional Community Foundation (GTRCF) with P.B. Temporary Renovation Fund written on the notation line.
  3. Mail the completed form and your check to:

      Friends of Point Betsie Lighthouse   
      Grand Traverse Regional Community Foundation
      250 E. Front Street, Suite 310
      Traverse City, MI  49684

Annual Membership for 20___:

      Individual -- $35.00    
      Family -- $50.00        
    
Renovation Contribution: _______________

Name    ___________________________________________________________

Email Address  _______________________________________

Summer Street Address _____________________________________________

Summer City    ____________________ State _________ Zip Code ______

Summer Phone   _____________________

Winter Street Address _____________________________________________

Winter City    ____________________ State _________ Zip Code ______

Winter Phone   ____________________

  Yes! I would consider volunteering for service.
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of Point Betsie Lighthouse
and
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