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Historic Langhorne Association Corporate Sponsor Application.

Print the form, fill in the information and return it with your check payable to

HISTORIC LANGHORNE ASSOCIATION.

Mail to: Historic Langhorne Association- 160 W. Maple Ave. - Langhorne, PA 19047

Name___________________________________________________________

Address________________________________________________________

________________________________________________________

Phone _____________________ E-mail address____________________

Web Site Address ________________________________________________________

Check application box:

Corporate Patron   $1,000   _______________

Corporate Sponsor $500   _________________

Corporate Benefactor  $250  _________________

Corporate Donor  $100    ________________

Corporate Member $50    ________________

Contributions to HLA, a 501(c)3 organization, are tax deductible to the extent permitted by law.

Yearly memberships run from September 1 to August 31.

Preserving the past, to enlighten the present, and provide for the future