JOIN OSL

JOIN OLD ST. LUKES

OSL receives no State or Federal funding, and depends upon the generosity of people like you to keep its history alive. We ask for donations (tax deductible), giving you a membership status for the year. The suggested levels of giving are $15 Individual, $20 Family, $35 Patron, and $50 Donor; but any amount will be gratefully accepted. To join just fill out this form, print it, and mail to:

Old St. Lukes
Richard W. Davies, Director
300 Madison Ave., Apt 309
Pittsburgh Pa.15243-1087

Your e-mail address:

Your Name:

Street address:

City or Post Office

State or Province:

Postal Code (if any):

Country:

MEMBERSHIP LEVEL (please make checks payable to OLD ST. LUKES):

$15 Individual $20 Family $35 Patron $50 Donor Other $

Would you like to be placed on our "E-mailing" list? YES NO
(NOTE: Answering YES enables you to receive E-mail announcements of upcoming events at Old St. Lukes)

NEED TO START OVER? JUST CLICK THE "Clear All" BUTTON

WHEN THE FORM IS COMPLETED TO YOUR SATISFACTION PRESS THE PRINT BUTTON