|
Membership
|
| Name:________________________________ |
Would
you like to join the
Muscatine County Arts Council? |
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| Address:______________________________ | |||||
| City:_________________________________ | |||||
| State:_______________Zip:______________ | |||||
| Phone:_______________________________ | |||||
| E-mail:_______________________________ | |||||
| Dues are: | |||||
| INDIVIDUAL .... $25.00 STUDENT .... $10.00 |
Please send
this form with a check or money order payable to |
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| SENIOR CITIZEN .... $10.00 FAMILY .... $35.00 | |||||
| BUSINESS .... $100.00 | |||||
| PATRON .... $500.00 | |||||
| LIFETIME MEMBER .... $1,000.00 | |||||