Friend Application

NAME (if choosing family friendship, include all names here)

MAILING ADDRESS (street or PO box, apartment number, city, state, zip)

EMAIL ADDRESS

ANNUAL FRIENDSHIP LEVEL

_ Individual $25

_ Family $40 (more than one person in the same household)

_ Elder $15 (62 years and older)

_ Student $15 - School name:

DESIGNATED OPTIONAL DONATIONS

General Spirits Alive fund $

Other $

HOW DID YOU HEAR ABOUT SPIRITS ALIVE?

Print and mail this form and your check or money order payable to: Spirits Alive, PO Box 18209, Portland, ME 04112-8209. Spirits Alive is a 501(C)(3) organization. Spirits Alive will never sell or lend your personal information to anyone.