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IMSOM Membership Form - 2010

Please print and send to the address provided below.

Name
______________________________________________________________

Address
______________________________________________________________
______________________________________________________________
 

Phone

  

______________________________________________________________

Email		 ______________________________________________________________


Type of membership: (Check one)
Student $40.00 ____
Senior $40.00 ____
Individual $60.00 ____
Family $90.00 ____
Patron $150.00 ____
Benefactor $250.00 ____
Grand Patron $500.00 ____

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 2001-2009 Indian Music Society of Minnesota