2012  WMBC Membership Form

 

 

   Name:      _______________________________________________________

   Address:   _______________________________________________________

                   ______________________________________________________

    Phones:   Home   ____________________  Work:   _____________________

    E-mail:   ________________________________________________________

    (Check one:)

          ___ Active membership ($25.00)        ___ Inactive membership ($6.00)

 

Please make check out to:  WMBC

and mail to:     Jane Harrelson
                       1151 Parnell Ave SE,
                        Ada  MI 49301


Or bring to any meeting or workshop.