Landmark Society of the Niagara Frontier
Membership Application

Membership includes:

Name _____________________________________________________________________

Address ___________________________________________________________________

City ____________________________________________ State __________ Zip _______

Phone ________________________ Email _______________________________________

Membership Levels:
______ Individual $35
______

Investor (I want $40 to go directly to the ...)

____ Buffalo Architecture Center
____ c. 1810 Warren Hull House Restoration
____ Pewter Plate Preservation Awards

$75
______ Family $50
______ Out-of-Towner (I live over 100 miles away) $25
______ Student (ID required) $25
______ Joseph Ellicott Patron $150+
______ Niagara Frontier Landmarker $500+

Membership Dues:

My check for $___________ is enclosed made payable to: Landmark Society of the Niagara Frontier

Please charge my _____ VISA _____ MasterCard

Card. No. __________ - __________ - __________

Expiration Date ________ / _____

Name as it appears on card: (Please Print) ________________________________________

Signature X ____________________________________________________
To charge by phone or fax: 716-852-3300.

The Landmark Society of the Niagara Frontier
Market Arcade Complex
Suite M108, 617 Main Street, Buffalo, New York 14203
Phone/Fax 716.852.3300
Email:
info@landmark-niagara.org
Webs site:
http://www.landmark-niagara.org