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Life Active Membership The cost of Life Active Membership shall be $500. Payment shall be limited to two options: $500 payment in full or two consecutive yearly payments of $250. Member Benefits from a Life Active Membership:
The Life Active Membership is an opportunity for the corporate member who donates to charitable organizations and wants to support the work of this Foundation. Small businesses may elect to support the Foundation with their membership and utilize the Foundation's Turn Around Fund opportunities to donate to other charitable and/or educational funds. It does, however, offer an opportunity for the individual that would like to make a living trust gift to the Foundation. The Life Active Membership is a way that the member can make a bequest which will live on into the future. Fill out the Life Active Membership Form and mail it to ESA Foundation Headquarters. Make your check payable to the ESA FOUNDATION. Or you can go to the Contribution Form - Online and complete the contribution form which has a place for the Life Active Membership. ESA Foundation Life Active Membership Form Application Yes, I am applying for Life Active Membership in the ESA Foundation. Enclosed is my payment of $500 in full or the first of two consecutive payments of $250. Name _____________________________________________ Member No: ____________ __________________________________________________ Phone No: ______________ street address P.O. Box Number __________________________________________________ Zip Code: ______________ City State Date: ____________________________ Signature: __________________________________ |
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ESA Foundation · 363 West Drake Road Fort Collins, Colorado 80526 970-223-2824 phone · 970-223-4456 fax |