World Harp Congress - membership form

WHC MEMBERSHIP FORM
This form is to be printed, filled out, and mailed in.

____ Student ($20.00) (max. age 29)
____ Regular ($50.00)
____ Sponsor ($100.00)
____ Donor ($250.00)
____ Patron ($500.00)
____ Benefactor ($750.00)
____ Life Member ($1000.00)
...

If you would like to contribute to the WHC Phia Berghout Endownment Fund, specify an amount below:

Contribution amount: ________________
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Members living outside the United States may send an international money order, or international bank draft (drawn on a US bank) payable to the World Harp Congress, or use Visa or Mastercard.

Members living within the United States may send a check or money order payable to the World Harp Congress, or use Visa or Mastercard. Your contribution is tax deductable to the extent allowed by law.
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Total Amount Enclosed ______________
Please send "World Harp Congress REVIEW" to me at the following address:

First Name:

Last Name:

Address:

phone:____________________________________

fax:______________________________________

email:____________________________________

website:___________________________________

___ Visa ___Mastercard

Card Number:__________________________________

Expiration Date:_________________________________

Signature:________________________________

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Send payment and competed form to:

World Harp Congress, Inc.
Lu Buranen, Membership Coordinator
1008 Corona Drive
Fircrest, WA 98466
USA

Thank you for supporting the World Harp Congress

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