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Waterford Foundation Membership
Membership Level
*
$50
-
Preservationist
$75
-
Janney Society, Individual
$150
-
Janney Society, Family
$1,000
-
Landmark Society
Gift Frequency
One Time
Yearly
Continue donating until
(mm/dd/yyyy)
This membership is a gift.
Gift Membership Recipient Name
*
First Name
Last Name
Recipient Email
*
Verify Email
*
Recipient Cell Phone
Recipient Home Phone
Recipient Mailing Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Your Contact Information
Primary Contact Name
*
First Name
Last Name
Primary Contact Email
*
Verify Email
*
Primary Contact Cell Phone
Primary Contact Home Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Second Member Name (for Family and Landmark Society Memberships)
First Name
Last Name
Second Member Email
Verify Email
Second Member Cell Phone
Second Member Home Phone
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