Membership

Yes, I would like to join the Sterling North Society!

Name:

Phone:

Address:

________	Annual adult memberships @ $10.00 each	$__________
________	Annual student memberships @ $3.00 each	$__________
________	Annual family membership @ $25.00	$__________
	TOTAL:	$__________

Member
Names:

PRINT THIS FORM OUT, FILL IN THE APPROPRIATE AREAS AND MAIL TO:
Elizabeth Diedrick
Treasurer
Sterling North Society
PO BOX 173
Edgerton, WI 53534