Hollywood Heritage Membership Application

Fill out this form and then print it. Please send the printed form to:
Hollywood Heritage, Inc.
P.O. Box 2586
Hollywood, California 90078-0192

MEMBERSHIP APPLICATION
YES! Count me/us in to help support Hollywood Heritage’s dedication to the preservation of Hollywood through its architecture and the history of the motion picture industry.

$2,500 Majestic $1,000 Keystone $500 Bison $250 Kalem $100 Triangle**
$50 Household $40 Individual $25 Senior (65+)

**Join at the $100 Triangle level or above, and receive a complimentary 24"x36" collectable reproduction poster, A Map of Hollywood from the Best Surveys of the Time (c. 1928).

MEMBERSHIP BENEFITS INCLUDE:

Name:

Address:

City: State: Zip:  

e-mail address


I wish to pay by
: Check (Please make checks payable to Hollywood Heritage Inc.)

Charge my: Visa    Mastercard Card     Number Expiration Date

Signature

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