Annual Membership

Please accept my charitable donation and enroll me as a Menare Foundation member:

$10 Sojourner Youth & Senior

$20 Guide Individual

$30 Conductor Family

$50 Friends Group or Non Profit

$100 Station Master Builds Infrastructure

$250 Freedom Seeker Expands Programs

$500 Emancipator Supports Vision

$1000 North Star Ensures Success

Name: ________________________________________________________

Company: ________________________________________________________

Address: ________________________________________________________

Phone(s): ________________________________________________________

Fax: ________________________________________________________

Email: ________________________________________________________

Annual Membership Entitles You To:

Print and Send Completed Form To:

The Menare Foundation, Inc., PO Box 1366, Olney, MD 20830

301.916.7090

menarefoundation@aol.com · www.menare.org

The Menare Foundation has been designated as a 501(c) (3) organization by the Internal Revenue Service (EIN# 522-147-912).