Historic Latta Plantation Membership Form

Send to:

Historic Latta Plantation
5225 Sample Road
Huntersville, NC 28078

Check the appropriate membership choice below:

___ Individual ($30)
___ Family ($50)
___ Patron ($100)
___ Sponsor ($250)
___ Sustainer ($500)
___ Benefactor ($1,000)

Please make checks payable to Latta Place, Inc.

You may also pay by credit card:

___ VISA ___ MASTERCARD

Card Number: ________________________________

Expiration Date: ______________

 

Send my membership letter and Latta Journal subscription to:

Name:_________________________________________________________

Street Address:___________________________________________________

City, State, ZIP:___________________________________________________

Phone::______________________

Email::________________________