Golden Cultural Alliance
Membership

 

If you would like to join the Golden Cultural Alliance, please print this form, complete it, and mail it with your check to:

Golden Cultural Alliance
PO Box 984
Golden, Colorado   80403

___  Organization                ___  Individual

 

____________________________________________________________
Name

____________________________________________________________
Contact Name (Organization Only)

____________________________________________________________
Address

____________________________________________________________
City, State, ZIP

____________________________________________________________
Phone

____________________________________________________________
Fax

____________________________________________________________
e-mail

Category

___  Individual, $20 ___  Non-profit, $40 ___  Business Friend, $40
___  Sponsor, $75 ___  Patron, $100 ___  Benefactor, $500

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Golden Cultural Alliance

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