Mid-America Geographic Foundation
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MEMBERSHIP
Mid America Geographic Foundation
To become a member or renew membership please print this form.
Fill in the blanks and send to the address below. Please enclose your check made payable to
Mid America Geographic Foundation and mail to the following address:
Mid America Geographic Foundation
P.O. Box 722 99W 2nd St
Fond du Lac, WI 54935
Name_______________________________________________________________
Address_____________________________________________________________
City_______________________________ State____________
Phone_____________________________
Email______________________________
Type of membership: | Amount |
Individual | $15.00 |
Individual senior (age 62) | $10.00 |
Family (children included) | $25.00 |
Student (includes adult with student ID) | $10.00 |