Mothers’
Center Membership Form
q
I want to become a new member (includes a
one-year newsletter subscription)
q
Member ($12.50 1/2 year if joining March 1st
– June 1st)
q
Member ($25 full year)
q
Reduced Rate Member ($10 see pg. 19 for details)
q
I want to renew my membership (renewal is
in September)
Name
_________________________ Telephone
_____________________ E-mail
Address ____________________
Address
________________________________ City/State
________________________ Zip
___________
Please provide the following information so that we may
include it on the Membership Roster, which is mailed to all members.
(this information is kept confidential, and is only
shared within the organization)
Spouse’s
name ______________________________Your
birthdate ___________________________________
Children's
name and birthdates __________________________________________________________________
Where
did you hear about the MC? ____________________________________________________________
Every member helps in any
way she can at the Mothers’ Center. It
is a wonderful way of meeting other mothers and making new friends.
I am interested in getting information about helping in the following
areas (please choose 3 & number in
order of interest):
____
Childcare ____
Community Outreach ____
Finance ____
Fundraising ____
Membership
____
Newsletter ____ Playgroup
____ Programming
____ Secretary
Mail
completed form with check made payable to the Mother’s Center:
The
Mothers’ Center, Attn: Membership; 1200 South Taft Hill Road; Fort Collins, CO
80521