Dues Form

 

HOW TO JOIN?

PRINT THIS FORM:
+++++++++++++++++++

Please return this bottom portion to: 

BARBARA DOVE, TREASURER

454 SHORELINE DRIVE, DECATUR, IL 62521

ANNUAL DUES:         _____  Single membership ---$85

                                    _____   Couple’s Membership ---$120 

                                    _____   Donation for Support in the amount of $_______________

Name ___________________________________________________

Address___________________________________City_________________________Zip______________

Telephone _________________________________Email_______________________________________

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