|
ABRAHAM LINCOLN CIVIL WAR ROUND TABLE OF
MICHIGAN
|
Note: Our Membership Application is in Portable Document Format (PDF). If you do not have PDF reader software installed on your computer you can download one free from Adobe by clicking on this "Get Adobe Reader" icon: |
It shall be the policy of the Abraham Lincoln Civil War Round Table of Michigan to provide equal membership opportunities to all eligible persons without regard to race, religion, color, national origin, citizenship, age, sex, marital status, parental status, handicap, membership in a labor organization, and political affiliation. |
--------------------------------------------------------------------------------------------
I hereby apply for membership in the Abraham Lincoln Civil War Round Table (ALCWRT):
Name: _______________________________________ (Please Print Your Full Name) Address: _______________________________________ Telephone: (Home) (___) ________ City: _________________State:_____Zip:_______ Telephone: (Business) (___) ________ e-mail:_______________________________________ Place a check mark next to your Membership Category... Single Membership $20.00 ______ Family Membership $30.00 ______ I wish to make an additional donation to the ALCWRT in the amount of $______ Total Amount Enclosed: $______ Please return this form with your payment (checks payable to ALCWRT) to: ALCWRT c/o Worley Smith 10035 Orchard Ridge Court Holly, MI 48442
Note: this form came off the Internet.
--------------------------------------------------------------------------------------------