Become a Fifty plus One Member!



Name____________________________
Address_____________________________________________________
City__________________________State__________Zip______________
Phone_______________________


_______YES! I want to become a member of Fifty plus One! Enclosed is my donation of:

$500____ $100____ $51____ $30 ____ Other _____
Contributions are tax-deductible to the extent allowed by law.

Checks should be made payable to:

"Tides Foundation/Fifty plus One" and sent to:
817 Silver Spring Ave., 302, Silver Spring, MD 20910