|
Name
|
|
|
Address |
|
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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
|
