If you would like pay by check, to join the Dallas Goethe Center, please print out this form, and mark the level of membership desired.
Make checks payable to the Treasurer-Dallas Goethe Center, and mail with the completed form to the address above. The membership year begins May 1st.
Type of membership: (please circle)
Regular: $70.00
Patron: $120.00
Sustaining: $200.00
Corporate: $500.00
Life Member: $1000.00
Senior: $40 (65 and older)
Student: $25.00
Valid for one household
Voluntary Extra Contribution: $...............................
Total Amount Enclosed: $................................
Date: __________
Member Name(s): ______________________________________________________________
Address:
______________________________________________________________________
City: ______________________________ State: _______ Zip/Postal Code:
________________
Phone Home: __________________ Office: __________________
E-mail Address: __________________
Newsletter via e-mail only: (___) Please check the space above if you wish to receive the newsletter via e-mail only.
If you have comments or suggestions e-mail DGC webmaster