Cupola Society Membership

YES, I/we will financially support the Cupola Society

* Member Name(s)

* Email Address

* Mailing Address

* City

* State

* Zip

* Perferred Phone Number

Please select Preferred method.
Home Mobile Office

2023 Giving Level & Pledge:

Claggett Circle: $365

Buckingham Circle: $1,000

Farmhouse Circle: $2,500

Powell Circle: $5,000

Amount $

Additional Amount $
If no additional amount just enter "0"

Total Amount $

What is your history with Claggett?

Check all that apply, include dates & related details (if possible)

Claggett Adult Program Participant

Summer Camp Alumni

Summer Camp Parent

Summer Camp Volunteer

Summer Staff

Parish Retreat Participant

MD Cursillo

Hospitality Group Coordinator or Participant

Board Member

Other

Be an ambassador today!

As someone who loves the Claggett Center, you probably know others who love Claggett too. Who do you know that would enjoy connecting with others while supporting Claggett's mission and ministries?

Name of Recommended Member

Phone

Name of Spouse/Partner (if applicable)

Phone

Street

City

State

Zip

Why are you recommending this/these person(s) for membership?

May we use your name when we extend an invitation to join the Cupola Society?

Yes No

The Claggett Center is a nonprofit, tax-exempt 501(c)(3) organization. Gifts to the Cupola Society qualify as charitable contributions to the full extent as provided by law. Consult your tax advisor regarding new tax deduction opportunities.

Method of Payment for Membership

CREDIT CARD
CHECK made payable to Claggett Center (Cupola Society in memo)
DESIGNATED GIFT made to Bishop's Annual Ministries Appeal for Claggett Center

Mail check to:

The Cupola Society
3035 Buckeystown Pike
Adamstown, MD 21710

We will contact you to setup the Designated Gift

Payment/Billing Address

Card Number

Exp Mo

Exp Yr

CVV

Cardholder First

Cardholder Last

Street

City

State

Bill Zip

Mission/Vision
Events
How to Give
Membership
Main Page

CONTACT
3035 Buckeystown Pike
Adamstown, MD 21710
Phone: 301-874-5147
Fax: 301-874-0834