Plum Beach Lighthouse Membership Application

Name_______________________________________________________


Address_____________________________________________________


City/State/Zip_________________________________________________


Phone______________________________________________________


Email_______________________________________________________

Check one:
Student (25 & under) $15  
Individual $25
Family $40
Small Business $75
Corporate $150
   Lighthouse Keeper Class
Rescue Seaman $50  Lighthouse Keeper $100   
Chief Lighthouse Keeper $250  Senior Chief Lighthouse Keeper $500 
Master Chief Lighthouse Keeper $1000  
Please make checks payable and mail to:

Friends of Plum Beach Lighthouse, Inc.
P.O.Box 1041
North Kingstown, RI  02852