BECOME A MEMBER HELP SUPPORT LIVE BLUES MUSIC
IN NORTHCENTRAL IOWA. PLEASE PRINT THIS FORM FOR
NEW MEMBERSHIPS AND RENEWALS THANK YOU

Enjoy discounts for great musical events
Get discounts on merchandise
Receive a free monthly newsletter subscription
Exercise the right to attend and voice opinion at board and committee meetings
Meet new friends

Single Membership is provided for individuals. Children under 18 years of age and residing at home shall enjoy membership privileges and discounts to the extent that these are offered, but shall not be eligible to vote on society matters. ($25.00 per year)

Family Membership shall include spouses or domestic partners, who shall be entitled to one (1) vote each. Children under 18 years of age and residing at home shall enjoy membership privileges and discounts to the extent that these are offered, but shall not be eligible to vote on society matters. (40.00 per year)

Corporate Sponsor. Any corporation contributing $100 or more shall be a Corporate Sponsor of the society and shall be recognized as such during the membership year in which the contribution was received. A Corporate Sponsor shall not be entitled to vote or be eligible tp hold office. Your corporate name will be listed in the newsletter each month of the year you are a Corporate Sponsor and your corporate name will be displayed at all Lizard Creek Blues Society events or membership drives. ($100.00 per year)

Contributing Membership is provided for any Single or Family Member who contributes $100 or more, and shall be recognized as such during the membership year in which the contribution was received. A Contributing Member shall be entitled to all society privileges, including the right to vote and eligibility to hold office. ($100.00 or more per year)


LIZARD CREEK BLUES MEMBERSHIP APPLICATION
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NAME_______________________________________________________________________
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ADDRESS_____________________________________________________________________
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CITY______________________________ST.________ZIP______________________

>>PHONE NUMBER_____________________>>>>EMAIL ADDRESS_______________________ SINGLE...$25/YEAR.....FAMILY....$40.......CORPORATE SPONSOR....$100...Contributing.$100
MAKE CHECKS PAYABLE TO LIZARD CREEK BLUES SOCIETY
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MEMBERSHIP APPLICATION
MAIL TO: LIZARD CREEK BLUES SOCIETY
Attn. P. J. RODENBORN
P O Box 952
FORT DODGE, IA 50501
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