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IMSOM Membership Form - 2015

Please print and send to the address provided below.

Name

______________________________________________________________

Address

______________________________________________________________
______________________________________________________________
 

Phone

 

______________________________________________________________


Email
______________________________________________________________


Type of membership: (Check one)
Bronze
Full-time Students and Seniors (Over 65 years) Only
$50.00 ____
Silver $70.00 ____
Gold $100.00 ____
Patron $175.00 ____
Make a donation to IMSOM $_______ ____

Please mail us the completed form along with your check to:

Indian Music Society of Minnesota
PO Box 581846
Minneapolis, MN 55458-1846

IMSOM, established in 1980, is a registered non-profit (501(c)(3)) organization serving Minneapolis-St.Paul and the greater Twin Cities Metro Area.

© Copyright 2001-2015 Indian Music Society of Minnesota