Membership Form:

Name:_______________________________________________________________

Phone:______________________________________________________________

Address:_____________________________________________________________

Email:_______________________________________________________________

 

Please check your contribution by one of the categories listed below.

Send this membership form along with your contribution to:

Sisseton Arts Council
P.O. Box 313
Sisseton, South Dakota 57262-0313

 

Individual/Family
 

Corporate/Business
 
_____$150 Patron _____$500 Patron
_____$100 Benefactor _____$250 Benefactor
_____$ 75 Donor _____$100 Donor
_____$ 50 Supporter _____$ 50 Supporter
_____$ 20 Friend _____$ 25 Friend

Thank you for your support!