Haines Family Association, Inc.
Membership Application
Membership in the Haines Family Association supports our website; ongoing historic cemetery rescue, restoration and maintenance; historic cemetery preservation seminars, genealogical research, collecting, preserving and publishing the history of the Haines Family and other early settlers in the area of what is now known as northern Greene County, Town of Hunter, Catskill Mountains, New York, commonly referred to as “The Mountaintop.” You will also receive our annual newsletter and an invitation to our annual reunion/general meeting held on the second Saturday of July each year at the South Lake Pavilion, NYS North-South Lake Campground, Haines Falls, NY. At our 2012 Reunion on Saturday, July 14th, we will celebrate 11 generations and 233 years on The Mountaintop. THANK YOU FOR YOUR SUPPORT!
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( ) I’m/we’re enclosing my/our tax-deductible contribution payable to HFA to support and continue the work of the
Haines Family Association. (The first $5 is your membership dues. Check the box opposite your contribution and
and whether you wish anything extra applied to Cemetery Care or General Fund below.)
Please print this page (click on the link below for a printer-friendly version), fill it out and mail it with your check to:
Robert Haines, Treasurer
PO Box 306
Haines Falls, NY 12436
( ) Individual or family membership __________________________________ $5
( ) Friend______________________________________________________$10
( ) Good Friend_________________________________________________$25
( ) Very Good Friend_____________________________________________$50
( ) Best Friend_____________________________________________$100 and over
( ) Cemetery Care ( ) General Fund
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Name_____________________________________________________ Phone________________________
Address_________________________________________________________________________________
City__________________________________________ State_____________ Zip_____________________
E-mail address __________________________________________________________
The Haines Family Association is a charitable association which is tax exempt under IRS
Section 501(c)(3). Your contribution is tax deductible to the full extent of the law.
Click here for a printer-friendly version of this membership application.
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