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: Ed Spaans
947 Orchard SE
East Grand Rapids, MI 49506
Or bring to any meeting or workshop.