Hearth Membership Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="0a0285a1erlcgo.png"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Times New Roman" ><B>H.E.A.R.T.H. Inc.</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="H.E.A.R.T.H. Inc."><U><B>home</B></U></A><B>     </B><B>Hearth Membership Form</B>   |   <A HREF="id43.htm" TARGET="_top" TITLE="Notice of Intent"><U>Notice of Intent</U></A>   |   <A HREF="id44.htm" TARGET="_top" TITLE="Letter of Intent (Sample)"><U>Letter of Intent (Sample)</U></A>   |   <A HREF="id23.htm" TARGET="_top" TITLE="ByLaws"><U>By-Laws</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Standards of Conduct"><U>Standards of Conduct</U></A>   |   <A HREF="id41.htm" TARGET="_top" TITLE="Statement of Faith"><U>Statement of Faith</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Hearth Membership Form</I></div> <div> <B><IMG SRC="1639c870.png" border=0 width="668" height="903" ALT="Microsoft Office Word Document" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> <bR> <bR> <bR> <bR> <bR> <div> <B><IMG SRC="1649c740.png" border=0 width="668" height="884" ALT="Microsoft Office Word Document" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> <bR> <bR> <bR> </td> </tr></table></body>