Annual Membership $50

Moya-RHS is a non-profit organization, which welcomes donations to maintain the Octagon House and to further its programs. 
Your membership and donations are tax deductible.  Tax ID #94-2885102

All memberships expire December 31st. 
Please complete this form and send it with your check payable to: 
Moya-RHS, P.O. Box 437, Ross, CA 94957 

 (   ) $50 Annual Moya-RHS Membership Dues


(  ) $100 Moya/RHS Sponsorship


(  ) $300 Moya/RHS Patron 

(   ) Additional Donation Amount $______________ Thank you! 

 Please state your name as you wish it to appear in our membership roster:

 __________________________________________________________

 Address:  __________________________________________________

__________________________________________________________ 
   (   ) Please DO NOT show my address in the membership roster  

 Telephone: _________________________________________________ 


To keep up-to-date on our upcoming events please provide your email address:

 E-mail: ____________________________________________________ 

Our membership roster is ONLY made available to other Moya-RHS members