New
Membership Form
|
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:
|
Quantity |
Membership Type |
Cost each |
Total |
|
|
Family |
$20.00 |
|
|
|
Individual |
$15.00 |
|
|
|
Gift - Family |
$20.00 |
|
|
|
Gift - Single |
$15.00 |
|
|
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:
Membership Department
11988 Faribault
Blvd.
P.O. Box 76
Dundas, MN 55019
Click here for
Membership Renewal Form
|
