Help us Spread the Word

Help us Spread the Word

If you have friends, relatives or acquaintances you think might be interested in helping us with a donation to our campaign please complete the referral form below and send it to us by mail or email. We will then send your referee a full campaign information package.



Tell us about you:

Name:

Email:

Phone:



Tell us who you think might be interested:

Their Name:

Their Email:

Their Phone:

Please tick each of the boxes below that you think your referral might be interested in:

Membership in Heritage Society
Donating to Endowment Fund
Volunteering with the Society
Working on Endowment Fund Campaign
Donating heritage materials
Being interviewed about their history

Please provide any information you have about the referral's Eastern Shore family history:

Please provide any other information about your referral that might help us make the best possible connection with them such as their specific interests, for example genealogy:

Copyright © 2015 All Rights Reserved by Memory Lane Heritage Village Lake Charlotte Heritage Society

LOGOUT