Membership Application
The German Cultural Society of
Deutsche Kulturelle Gesellschaft von
Erie Pennsyvania
Membership Application
| Membership Application 2011 |
Full Name _________________________________________________________ Spouse _____________
Address _______________________________________________________________________________
City/State ______________________________________________________ Zip Code _______________
Telephone no ___________________________________________________________________________
E-mail Address (optional) _________________________________________________________________
Birthday and Anniversary dates _____________________________________________________________
Type of membership requested: [ ] Basic or Head of Household $25, [ ] Spouse $5, [ ] Family $35
Donation for printing newsletter optional, but welcomed _________________________________
Total Remitted __________________________________
All membership fees go to the GCS operations in Erie, PA. Children under 17 are free of charged with a Basic or Family membership. Membership includes monthly newsletter, monthly programs and reduced fees for special events. Make checks payablemto The German Cultural Society of Erie. Do not send cash.
Send remittance to:
William Schubert