MEMBERSHIP FORM
Become a member today by marking your contribution
amount and returning this form.
Membership forms available for download online at
www.flaghouse.org/membership/societymembership
Mail to
844 E. Pratt Street
Baltimore, MD 21202
Stricker Circle, $70
Barney Circle, $100
Smith Circle, $250
Armistead Circle, $500
Pickersgill Circle, $1,000
(Please print)
Thank you for your generous support of the
Star-Spangled Banner Flag House,
a National Historic Landmark in Baltimore
Name
Address
State Zip
Phone
Email
Hereditary Org.
Chapter
Check enclosed payable to:
Star-Spangled Banner Flag House
Charge my:
Visa Master Card
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American Express
Account No.
Exp. Date CVV
Signature