(Please print and fill out form)

FRIENDS OF JOHN MARSH

Application: 
"Please accept my support for creation
of a State Historic Park on the site of the John Marsh
House in Brentwood, CA. Enclosed is my donation to 
further the work of the John Marsh Historic Trust, Inc."

Name_________________________________________________

Address______________________________________________

City____________________________________ State_______

Zip+____________-_________ 

Phone_______________________ Fax_____________________

Amount of Donation:

______$15 "Vaquero"

______$25 "Dos Vaquero"(couple or family)

______$50 "Pioneer"

______$100 "Padrone"

______$250 "Alcalde"

The John Marsh Historic Trust, Inc. is a tax exempt California Corporation

Please send this completed form and contribution to:

John Marsh Historic Trust
P O  Box 272
Concord, CA  94522