Print this form then complete and mail it, along with your check or money order, to:

 

Brandy Station Foundation

P.O. Box 165

Brandy Station, Virginia 22714-0165
 

BRANDY STATION FOUNDATION – 2009 MEMBERSHIP FORM

 
Yes, I support the work of the Brandy Station Foundation in preserving Historic Brandy Station. Please enroll me as a member of the Foundation.
 


_____$25  Membership         Additional Donation $_______


Name: __________________________________________________________________

Address:  ________________________________________________________________
City:  ___________________________ State: _____ Zip: _____________
 
5 Please let me know how I can help as a volunteer.  My contact/phone information is:
 

Phones:   

Daytime _____________________________________  
  Night _____________________________________  
  Cell _____________________________________  

email:   

___________________________________________________________


_____Send my newsletter by email or postal service. (circle one)

 

____________________________________________________________________________________

The Brandy Station Foundation is a 501(c)3 non-profit, community-based membership group dedicated to preserving the natural and historic resources of the Brandy Station area of Culpeper County, Virginia.  It relies on tax-deductible donations to meet its goals.