Join Preservation Alliance and Support Historic Preservation in West Virginia!

Your Name:  ________________________________________________

Mail Address:  _______________________________________________

City, State, Zip: ______________________________________________

Telephone/Fax:: _____________________________________________

E-Mail: ____________________________________________________    


Credit card type______________(We currently accept VISA and Master Card; call to inquire about Am Ex.)

Number______________________________________

Expiration____________
	

Signature__________________________________


Individual Membership	$25
Professional Membership	$50
Benefactor Membership	$100+
Other Donation (specify):    $_______
Pledge (to be invoiced):      $________
      2 years   3 years   5 years
	
TOTAL ENCLOSED:             $___________


Preservation Alliance of West Virginia encourages all forms of active participation in historic preservation.
PAWV is a 501(c)3 corporation, and therefore all contributions ARE tax-deductible.
Please send your check or credit card information with this completed address form to the address below.
Credit card donations or memberships may also be called in at 304-345-6005. 

Thank you for your support!
Preservation Alliance of West Virginia / PO Box 3371 / Charleston, WV 25333-3371