Are you a community or school gardener? Name of Garden:
________________________________________
Address
________________________________________
City, State, Zip
________________________________________
E-mail
________________________________________
Daytime Tel
________________________________________
Check one: New Member Renewing Member Additional Donation - I'm already a member
Donation Amount: $20 community gardener, student or senior $30 individual $40 family, school or organization
Name:______________________________________________ $100 supporter $300 sponsor $500 sustainer Other amount ______________________________________
Method of Payment: Check (payable to Urban Harvest) Master Card Visa
Credit Card #_________________________Expiration Date__________
3-digit number on the back of your card_______
Urban Harvest
2311 Canal St., Suite 200
Houston, TX 77098-0460
Thank you for your generous contribution.
New members will receive a welcome packet of information.
Contributions are tax-deductible as allowable by law.
