Mail payment
to: Rice County Steam &
Gas Engines, Inc. ~ Dues Dept. ~ P.O. Box 76 ~ Dundas, MN 55019
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Name
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Address |
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Telephone |
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Email |
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Contact |
Volunteer opportunities: |
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£ |
Volunteer as needed |
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£ |
Tax-free donation of money, time, labor, etc. |
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£ |
Other (Please describe) |
Indicate number of memberships requested and total price:
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Renewal |
New |
Quantity |
Membership Type |
Cost each |
Total |
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Family |
$20.00 |
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Single |
$15.00 |
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GIFT - Family |
$20.00 |
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GIFT - Single |
$15.00 |
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TOTAL |
£CASH £CHECK
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Family Membership |
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Name: |
Address: |
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City/State/Zip: |
Telephone: |
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Email: |
Cell phone: |
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Children under 18: |
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Single
Membership |
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Name: |
Address: |
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City/State/Zip: |
Telephone: |
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Email: |
Cell phone: |
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GIFT
- Family Membership |
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Name: |
Address: |
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City/State/Zip: |
Telephone: |
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Email: |
Cell phone: |
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Children under 18: |
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GIFT - Single Membership |
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Name: |
Address: |
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City/State/Zip: |
Telephone: |
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Email: |
Cell phone: |
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