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Membership Become a Friend of Black Hawk Folk Society

Print a copy of this page, fill it out, and bring it to a concert or mail to:
Black Hawk Folk Society, P.O. Box 1093, Wautoma, WI 54982

_____Annual membership: $5. Please indicate your talents.

_____Sustaining membership: $10–$99.

_____Life membership: $100 and over.

Memberships are effective until August 31, 2015.
All contributions are tax deductible (as allowed by law).

NAME(S) _____________________________________________________________________

ADDRESS ____________________________________________________________________

CITY/STATE/ZIP______________________________________________________________

E-MAIL ______________________________________________________________________

Special Talents, Suggestions, or Comments: ___________________________________________

_____________________________________________________________________________

_____________________________________________________________________________



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