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The Friends of the Pioneer Room Membership Form

Yes!  I'd like to support the Pioneer Room by becoming a member of The Friends of the Pioneer Room.
 

Name ______________________________________________________
Street Address
City/State/Zip code


______________________________________________________
Phone ______________________________________________________

Type of Membership:
(  )  Individual  ($10.00 per year)
(  )  Family  ($15.00 per year)
(  )  Contributor  ($25.00 per year)
(  )  Donor  ($50.00 per year)
(  )  Patron  ($50.00)

Volunteer Opportunities - Pioneer Friends Committees
(  )  Membership
(  )  Scholarship
(  )  Calendar
(  )  Education
(  )  Board of Directors


Please print and send this form along with your check or money order made out to The Friends of the Pioneer Room:

Pioneer Room
247 South Kalmia Street
Escondido, CA  92025