Union Mills Learning Center Membership Application

Date:__________________

_____Membership Renewal
_____ New Membership

Name(s):______________________________________________________________

Address:_______________________________________________________________

Phone:_______________________Email:_____________________________________

Membership Dues are $10.00 per family.    Dues included with Application  $________

                                                               Additional Contributions Made   $________

                                                               Total Amount Given                  $________

Please Make Checks
PAYABLE TO:     The Union Mills Learning Center, Inc.
PO Box 210 Union Mills, NC 28167

PLEASE CHECK ALL THAT APPLY:

I would like to help the Union Mills Learning Center with:

_____Food preparation, serving, kitchen cleanup, etc. 
_____Donating food items for fund raising dinners
_____Soliciting or donating items for fund raising events                  
_____Building renovations and Maintenance
_____Grass Mowing                                                                      
_____Cleaning facilities for various projects                                                 
_____Monetary Donations
_____Assisting in the Computer Lab
_____Delivering breakfasts to shut-ins and local businesses

Activities you would like to see happen in Union Mills____________________________
________________________________________________________________________