hakone - hakone foundation: membership form

Please accept my membership. Gifts to Hakone are tax deductible. 501(c)3 number: 77-0054274.

Membership:

New Renewal

Enclosed is $:

If your company has a matching gift program, please enclose the appropriate form.

Company Name:

First Name:

Middle Name:

Last Name:

Spouse/Partner:

Address:

City:

State/Province:

Postal Code:

Country:

Telephone Day:

Telephone Evening:

E-Mail:

Check the Hakone Foundation activities that are of special interest to you:

Volunteer efforts you would be interested in:

Garden Labor	Gift Shop	Garden Docent
Special Projects

Print & Mail this form with your payment to: