Ways To Give

Join Now

If you would like to become a member of the Leaders Alliance, please fill out and submit. the form below.
Click here for a printable PDF enrollment form.

Personal Information: 看看看看看看看看看看看看*=Required fields

   
* First Name MI     *Last Name
     
   
Company/Organization (if applicable)    
     
* Address        Apt #
     
( )
* City *State *Zip

*Day time phone
       
    ( )
*Email     Fax
 
2010 Membership Dues
  Membership Annual Dues
 Individual:   $100
 Couples:   $125
 Combined:   $500*
  *(Includes Leaders Alliance & Stainton Society Membership.
After Oct. 1, 2010, combined membership is $750.)
Credit Card Information:
   
Credit Card: MasterCard  Visa  American Express  Discover
   
Amount: $100.00
   
*Account Number:  *Security Code:
   
*Exp. Date *
   
*Name as it appears on card
   
Comments:
  Please type in the following in the box: mClgrC
  

 

Stainton

STAINTON SOCIETY
The 2011/2012 Stainton Society Campaign

Stainton Associates

Introducing:
 Stainton Associates

D. Allen Stretch Jr. Golf Tournament

View Photos From
 The D. Allen Stretch Golf Tournament
View Photos >

Shore Medical Center Foundation • One East New York Avenue, Somers Point, NJ 08244 • 609.653.3800 • foundation@shorememorial.org