Membership

Please print and mail the following coupon and mail it with your check to:
Libby Foster, 507 E. Robert Toombs Ave., Washington, GA 30673

 

                    Yes! Sign me up for WLTCo. Membership

                    (  ) Lifetime Member ($5,000-always welcome)
                    (  ) Corporate Sponsor ($250 -15 tickets; early bird: 17)
                    (  ) Sponsor ($75–8 tickets; early bird: 9)
                    (  ) Patron ($55–6 tickets; early bird: 7)
                    (  ) Single Member ($25-3 tickets; early bird 4)
                    (  ) Philanthropist (Whatever amount, just because. Don't hold back.)

Name as you want it on the program______________________________

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 Address______________________________________________________

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E-mail Address________________________________________________

Telephone Number_____________________________________________