Membership Form Instructions
 1) Print this page.         2) Fill it out, include your payment check         3) Mail

Make checks payable to COLORADO WELSH SOCIETY and remit to:
Colorado Welsh Society
7832 S. Garfield Way
Centenniel, CO 80122

Colorado Welsh Society Year 2008 Membership Form
Name:
Address:
 
E-mail Address:
Phone Number(s):
Family Members (for Family membership):
 

Membership Levels:
Single   at $20 = $  
Student   at $15 = $  
Senior (60 yrs. & up)   at $15 = $  
Family   at $30 = $  
Newsletter Only   at $10 = $  
I wish to add a donation (tax deductable) in the amount of: $  

Total:

 $  

Please send Newsletter subscription(s) to (if other than self):

Name:

Name:
Address: Address:
   
Web Page by TD Roberts. Please report any problems directly to: trefor@worldnet.att.net
Page created: Jun. 07, 1999 and modified: Sep. 13, 2007