T&SC MEMBERSHIP APPLICATION

Please complete the following and remit it with the $ 24 annual (or $ 700 lifetime) membership fee plus any additional contribution you wish to make to: Teaching & Sharing Centers, 417 S Bridge Street, Grand Ledge, MI 48837. (payable by check, money order, or traveler's check, in US currency)

 

Name
Address
 
 
Phone
Cell Phone
E-mail

 

NOBODY LEFT BEHIND OPTIONS

If the $24 membership will create a financial hardship for you, check the appropriate box below and submit . . .

  any amount between $ 5 and $ 23.

  I need and request another member to pay the $ 5 minimum on my behalf.
 

 

After completion, print, sign and mail to:
Teaching & Sharing Centers, 417 S Bridge St, Grand Ledge, MI 48837


 


Signature

Date

 

You may write or use your computer's word processing program
 to place comments, ideas, or requests on the back of this form.
 

 

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