HOME

  LIFE SKILLS

         MEMBERSHIP  PARTNERSHIP  ABOUT US
Pebblebrook Membership Registration

INSTRUCTIONS:

1.  Review the “Partnership Level Form” and specify the right Partnership Level for your family or organization.                       

2.  Note your expected "Partnership Advertisement & Rewards" in the special message field below.

3.  If your contribution is for scholarship purposes also note the students name in the special massage field. 

4.  Direct your contribution to the organization of choice.  

5. Your donation receipt w/ tax information will be delivered to the address indicated below. 

6.  Email your artwork for advertisement purposes to “ a_mcrae@comcast.net “  

______________________________________

Your Information

Company Name:   
First Name:       Last Name:  
Address:     
City:   State:   Zip:
Evening Phone:   Email:  

Special message to the organization:  

______________________________________

Partnership Level:

Contribution level to be assigned.....     

______________________________________

Your Contribution:

Please direct my contribution to the... 

Contribution Amount:   

You can now allocate resources to your favorite community program online,  by clicking the "Submit" button below.  Your information above is automatically entered into our database to inform our membership committee of your interest in the program.  At this time you will also have the convenient option to make you pledge by credit card online via "Paypal".