Membership Renew

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Name  

 

Address

 

Telephone

                                       

Email

 

Contact

Volunteer opportunities:

£

Volunteer as needed

£

Tax-free donation of money, time, labor, etc.

£

Other (Please describe)


Indicate number of memberships requested and total price:

Renewal

New Quantity

2008 Membership Type

Cost each

Total

 

   

Family

$20.00

 

 

   

Single

$15.00

 

 

   

GIFT - Family

$20.00

 

 

   

GIFT - Single

$15.00

 

 

   

TOTAL

 £CASH

£CHECK #__________

 

Family Membership

Name:

Address:

City/State/Zip:

Telephone:

Email:

 

Children under 18:

Single Membership

Name:

Address:

City/State/Zip:

Telephone:

Email:

 

GIFT - Family Membership

Name:

Address:

City/State/Zip:

Telephone:

Email:

 

Children under 18:

GIFT - Single Membership

Name:

Address:

City/State/Zip:

Telephone:

Email:

 

Please bring to December meeting, January Banquet, or mail completed form along with your check or money order made payable  to:

Rice County Steam & Gas Engines, Inc.

Attention: Dues Department

P.O. Box 76

Dundas, MN 55019