a membership application as an MS Word

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Become a Friends of Pheasant Branch Member Today!
Print this form and mail to:
Friends of Pheasant Branch, P.O. Box 628242, Middleton, WI 53562-8242
□$10 student □$20 individual □$30 family □$100 Friend of the Friends
Here is an extra donation of $_______
Please specify if you would like your donation used for a specific purpose:
________________________________________________________________
Name ____________________________________
Address _______________________________________________ Apt. ______
City ________________ State____ Zip ________
Telephone ________________ Email address ___________________________
□ Please contact me about volunteer opportunities
Thank you!
The Friends of Pheasant Branch is an all volunteer 501(c)3 nonprofit organization.
All donations are tax deductible to the extent permitted by law.
Please consider giving a gift membership or a memorial donation.
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