Life Active Membership

The cost of Life Active Membership shall be $500. Payment shall be limited to two options: $500 payment in full or two consecutive yearly payments of $250.

Member Benefits from a Life Active Membership:

1. A specially designed laminated Life Active Membership card.
2. Showing the Life Active card will admit the member into special ESA Foundation functions free should there be an admittance fee.
3. Special recognition in the Foundation newsletter.
4. The member shall not be subject to further dues increases should they occur.
5. The membership is tax deductible.
6. A special name badge designed with their name and life active status will be designed for the Life Active Member to wear to meetings.

The Life Active Membership is an opportunity for the corporate member who donates to charitable organizations and wants to support the work of this Foundation. Small businesses may elect to support the Foundation with their membership and utilize the Foundation's Turn Around Fund opportunities to donate to other charitable and/or educational funds. It does, however, offer an opportunity for the individual that would like to make a living trust gift to the Foundation. The Life Active Membership is a way that the member can make a bequest which will live on into the future.

Fill out the Life Active Membership Form and mail it to ESA Foundation Headquarters. Make your check payable to the ESA FOUNDATION. Or you can go to the Contribution Form - Online and complete the contribution form which has a place for the Life Active Membership.

Name _____________________________________________	Member No: ____________

__________________________________________________	Phone No: ______________
street address	       P.O. Box Number

__________________________________________________	Zip Code: ______________
City			State

Date: ____________________________ Signature: __________________________________