MEMBERSHIP FORM
PRINT THIS FORM AND MAIL TO:

Las Cruces Sister Cities Foundation
P.O. Box 3696
Las Cruces, NM 88003-3696

 

____New Member

_____Renewal Member

 

Name ___________________________ Spouse_______________Children______________

Company Name (if applicable)___________________________

Mailing Address______________________ City __________ State___________ Zip______

Home Phone____________ Home Fax___________________ Home E-Mail_____________

Work Phone____________ Work Fax_________________

Work E-Mail_____________

 

Annual Membership (calendar year)

___family $30

___Adult $20 per Person

___Senior $10 per Senior

____youth $5 per Youth

____Business $100(Up to 15 emplyoyees)

____Business$300(over 15 employees)

 

Interest Areas:

____exchanges

____Host Family

____Lerdo Committee

____Nienburg Committee

____Other_________________________________________________________