MEMBERSHIP, CONTRIBUTIONS, & EVENT REGISTRATION

Thank you for registering on-line.
Should you have questions or problems submitting your contribution, membership application or event registration, please contact: Cathy Tracy, Business Manager at (860) 951-6161 ext. 14
 
Name  
Billing Address  
Town   State   Zip Code  
Telephone   10 digits, no parenthesis, dashes or spaces required.
Credit Card   AMEX - 15 digits/ VISA & MasterCard 16 digits. No spaces required
Expiration
  mmYYYY  V Code  
AMEX - 4 digits on front
VISA & MasterCard - 3 digits on back

By entering your credit card number, you authorize Leadership Greater Hartford to charge your account.
 
Membership:
*Golden Membership is reserved for LGH program
graduates over the age of 65 or graduates of the Third Age Initiative. 

Event Registration:

 

Number of Tickets

Development Fund:

Yes! I would like to help build community leadership in Greater Hartford by supporting the Leadership Greater Hartford Development Fund with a tax-deductible gift of:

 (Other Amount)         

Please dedicate my gift to support:     
TOTAL AMOUNT  $
(Including membership, event registration and/or contributions)
Comment/Question

 

LGH Vfile

Return to  HOME PAGE