Fill out this form and then print it. Please send the printed form to: Pomona Heritage P.O. Box 2813 Pomona, California 91769-2813
MEMBERSHIP APPLICATION Goddess $5,000+ Historic $2,500+ Citrus $1,000+ Ranchero $500 Pioneer $250+ Heritage $100 Friend $50 Family $30 Individual $25 Student/Senior $20 MEMBERSHIP BENEFITS INCLUDE:
Name:
Address:
City: State: Zip:
e-mail address
(Please make checks payable to Pomona Heritage)