I would like to submit a contribution to Historic Chevy Chase DC, a 501(c)(3). Please make checks out to “Historic Chevy Chase DC” and mail them with this form to P.O. Box 6292, Washington, DC 20015-0292
Your Name: _________________________________________
Email address: _________________________________________
Mailing Address: _________________________________________
_________________________________________
Phone Number: _________________________________________
I would like to establish or renew my membership:
Annual Member for $45: $___________
Annual Patron for $100: $___________
Sustaining Member for $300: $___________
I would like to donate to a specific program:
Kenny Combs City Bench: $___________
Call Box Restoration: $___________
Other: $___________
THANK YOU FOR YOUR SUPPORT!
HCCDC Inc. is organized exclusively for charitable and educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code. All contributions are fully tax-deductible. Inc. is organized exclusively for charitable and educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code. All contributions are fully tax-deductible.