Kingsland Manor Membership Form

Use this form if you would like to to pay online. Please make note of the amount you owe. After you submit the form, you'll receive a link to our PayPal page, where you can enter that amount.

If you prefer to mail in a check instead, you can find a printable form at http://kingslandmanor.org/enroll.html.

I wish to: *
Full Name(s) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Email *
Your answer
Annual Membership Type *
Please note: These are the amounts for the available membership levels. You may choose to pay more than the amount in the category you select, and it will be treated an additional donation. Membership fees and donations are tax deductible.
I wish to volunteer my services. Please contact me to help with (check all that apply):
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