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"Friends of Kaw Heritage" Membership
Form
(Print and mail to address below)
| _____Benefactor |
$100 |
|
_____Business/Org |
$30 |
|
_____Individual |
$10 |
| _____Sustaining |
$50 |
|
_____Family |
$20 |
|
_____Student |
$5 |
|
Name(s)___________________________________
Address_____________________________________
City, State, Zip__________________________________
Telephone (____) ___________________________
E-mail Address:_____________________________
|
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"Friends of Kaw Heritage"
Gift Membership Form
(Print and mail to address below)
| _____Benefactor |
$100 |
|
_____Business/Org |
$30 |
|
_____Individual |
$10 |
| _____Sustaining |
$50 |
|
_____Family |
$20 |
|
_____Student |
$5 |
|
|
Name(s)___________________________________
Address_____________________________________
City, State, Zip__________________________________
Telephone (____) ___________________________
E-mail Address:_____________________________
|
|
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Make checks payable to:
Friends of Kaw Heritage, Inc.
500 N. Mission
Council Grove, KS 66846 |
|
Please send a complimentary Tah Po Ska to:
Name(s)___________________________________
Address_____________________________________
City, State, Zip__________________________________
|
Kaw Mission
E-mail: kawmission@kshs.org
Phone or FAX: (620) 767-5410 |
Return to "Friends of Kaw
Heritage"
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