Kingsland Manor Membership and Donation Form

Use this form to pay for your membership or make a donation online. If you are joining or renewing your membership, 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 are making a donation, you can enter the amount you wish to donate on the PayPal page.

If you prefer to mail in a check instead, you can find a printable membership form at http://kingslandmanor.org/enroll.html.
I wish to: *
Full Name(s) *
Address *
City *
State *
Zip Code *
Phone *
Email *
Membership or Donation Type *
Please note: The first four are the amounts for the available membership levels. If you choose to pay more than the amount in the membership category you select, it will be treated as an additional donation. If you are strictly making a donation, you will enter the amount you wish to donate on our PayPal page. Membership fees and donations are tax deductible.
If you are donating in memory of someone, please provide their name.
I wish to volunteer my services. Please contact me to help with (check all that apply):
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