Yes, I want to become a member of
Friends of Bluemont:

Name: ________________________________

Address: _______________________________

City: ________________________________

State: _________________ ZIP: __________

_____ $25 Individual Membership
_____ $30 Family Membership
$ __________ Additional Contribution

TOTAL: $____________________

Send your tax deductible donation to:

Friends of Bluemont, Inc.
P.O. Box 214
Bluemont, Virginia 20135

Phone: 540-554-2964
Email: susanfre@roadstarinternet.net

Join Friends of Bluemont --
Help Keep Bluemont a Special Place