THE ROYAL OAK FOUNDATION       FAX (212-785-7234) or MAIL-IN MEMBERSHIP FORM
Member Name(s) and Shipping Address:

Name (1)___________________________________________________________________

Name (2) __________________________________________________________________

Street _____________________________________________________________________

City_________________________________ State__________ Zip +4 _________________

Billing Address (if different from above):

Street ____________________________________________________________________

City_________________________________ State__________ Zip +4 _________________

Please note: NEW, REACTIVATED (lapsed), or RENEWED memberships
which require shipment outside the U.S. will incur a $15 surcharge.
Dual and above receives 2 member cards for applicants living at same address. See website for full details.
Individual  
$55
Benefactor
 $1,000
Dual  
$80
Steward
 $2,500
Family 
$90
Guardian
 $5,000
Conservator
$150
Patron Life
 $10,000
Art & Design
$250
Sponsor
$500
  Rush Handling (per membership, U.S. addresses only):   $7.50
 Shipment Outside the U.S. (per membership):   $15
  National Trust for Scotland Guide to Properties:   $9 Member price (otherwise $10)


Payment Information (bolded fields are required information):

Visa/MC:      -   -   - 

Expiration Date:   _______/_______      CCV (3-digit code on back of credit card): ____________
 
Daytime Telephone:  (___________)_____________________________________________________

Email: ______________________________________________________________________

Please print out, complete and FAX or MAIL this form to:
The Royal Oak Foundation, 26 Broadway #950, New York NY 10004-1715    (Tel: 800-913-6565 or 212-480-2889, x 205)

The Royal Oak Foundation is a U.S. 501(c)(3) non-profit foundation. Member dues are tax-deductable to the fullest extent allowed under IRS guidelines. See our website for tax-deductibility portion of each category.

DOES YOUR EMPLOYER MATCH US? Check with your HR department to double your contribution!