Membership Application
Baldwin Hall and The School House
Annual Membership Registration and Donation Form
Date___________
Name _________________________________________
Address ________________________________________
City/ State / Zip Code ____________________________________________________________
Phone _________________________________________ Email _________________________
Individual $15 ________
Family $25 -$125 ________
Patron $125 - $500 ________
Benefactor $500 or more ________
Endowment Gifts exceeding $1,000 ________
All Gifts are Tax Deductable. Please make checks payable to and mail to the following address:
Severn Cross Roads Foundation, Inc. PO Box 223 Crownsville MD 21032
I would like to receive the newsletter via : Email _______ or Mail: ______
The Foundation can always use volunteers to serve on committees or help with various tasks. If you can assist in any way, please indicate by circling your area of interest and a board member will contact you.
Building & Grounds Librarian Assistant Other _________________
Building Use Membership
Endowment Newsletter
Docent for School House Events Outdoor Clean-Up Days
Filing & Organizing Programs
History & Records Public Relations
Indoor Clean - Up Days School House Use
Lanscaping Shopping for Supplies