Printable Membership Application
Select your membership category to join online or
Print this form and mail to:
Scott Arboretum — 500 College Ave. — Swarthmore, PA 19081
Full names of all covered by membership:
_______________________________________________________
_______________________________________________________
Name(s) as you wish it to appear in our records:
_______________________________________________________
Address ________________________________________________
City ________________________ State ________ Zip ___________
Phone (day) ___________________ (evening) _________________
E-mail __________________________________________________
Today's Date ____________________________________________
Please indicate the membership category you've selected:
| $10 | Current Swarthmore College Student ($30 for 4 years) | |
| $20 | Other Full Time Student (copy of id required) | |
| $40 | Individual | |
| $50 | Family | |
| $75 | Sustaining | |
| $150 | Sponsoring | |
| $250 | Benefactor | |
| $500 | Patron | |
| $1000 | Director's Circle | |
| $125 | Organization |
Payment Method
__ Check enclosed (Payable to the Associates of the Scott Arboretum)
__ Visa credit card __ Mastercard
Credit Card #: _______________________ Expiration Date ________
Cardholder's Name ________________________________________
Signature ________________________________________________
Matching Gifts
If you work for a matching company, please submit a matching gift form.
Additional Contribution
I would like to make an additional contribution of
$_________.
Please make out a separate check payable to the Scott Arboretum.
Gift Memberships
If this is a gift membership please include:
Donor's Name ___________________________________________
Address ________________________________________________
City ________________________ State ________ Zip ___________
E-mail __________________________________________________