THE ENGLISH-SPEAKING UNION
MEMBERSHIP
(annual dues)
KENTUCKY BRANCH PATRONS
(contribution
only)
| |
|
| Return to the ESU-KY Web Site | |
| |
|
| THE ENGLISH-SPEAKING UNION |
|
| MEMBERSHIP |
|
| (annual dues) |
|
| |
|
| £
Full-Time College Student |
$ 35 |
| |
|
| £
Individual |
$ 60 |
| |
|
| £ Couple | $
90 |
| |
|
| £
Contributing Individual |
$140 |
| |
|
| £
Contributing Couple
|
$170 |
KENTUCKY BRANCH PATRONS |
|
(contribution
only) |
|
| |
|
| £
Kentucky Branch Patron - Level II |
$500 |
|
|
|
| £
Kentucky Branch Patron - Level I |
$1,000 |
| |
|
| £
Other |
$__________ |
| |
|
| Name
______________________ |
|
| |
|
| Address
____________________ |
|
| |
|
| City,
State __________________ |
|
| |
|
| Zip _______________________ | |
| |
|
| Office
phone ________________ |
|
| |
|
| Home
phone ________________ |
|
| |
|
| E-mail
________________________________________ |
|
| |
|
| |
|
| Please make check payable to: | |
| |
|
| The
English-Speaking Union |
|
| |
|
| and
mail with this page to: |
|
| |
|
| ESU KENTUCKY BRANCH | |
| P.O.
Box 5457 |
|
| Louisville,
KY 40255-0457 |
|