Membership

Marshalltown Community Concert Association 2005-2006 Season

Membership Application

Please print out this page and send in the application form.

MCCA Application 2005-2006
Make Checks Payable to:
Marshalltown Community Concert Association, Box 249, Conrad, IA 50621
Membership: Gloria Hanson 641-366-3093 (toll free from Marshalltown)

Adult Memberships: $40.00 each $__________
Student Memberships: $10.00 each
     (grade school, high school, college) $__________
Family Memberships: $90.00 each
     (parents and minor children) $__________

Additional Contributions:
   Friend: $25 or More Additional $__________

   Donor: $50 or More Additional $__________

   Century: $100 or More Additional $__________
   Sustaining: $250 or More Additional $__________
   Benefactor: $500 or More Additional $__________
   Other Contribution $__________
TOTAL $__________

Contributions are tax deductible.

Name:___________________________________ Phone:_____________
Street Address:_______________________________________________
City/State/Zip:_______________________________
E-Mail Address:________________________________

Please Circle One: NEW or RENEWAL
Worker: ____________   (Name of person who may have contacted you)

Your e-mail address and telephone number will only be used to contact you regarding
this application or to notify you if there is an unforeseen schedule change.
Performance artists and dates are subject to change. Your check is your receipt.
Membership cards will be mailed in the fall.

Membership Information 2005-2006 Concert Schedule Community Auditorium Location Reciprocal Concerts Officers of MCCA Return to Home Page

MCCA Application 2005-2006
Make Checks Payable to: Marshalltown Community Concert Association, Box 249, Conrad, IA 50621
Membership: Gloria Hanson 641-366-3093 (toll free from Marshalltown)
Adult Memberships: $40.00 each	$__________
Student Memberships: $10.00 each (grade school, high school, college)	$__________
Family Memberships: $90.00 each (parents and minor children)	$__________
Additional Contributions:
Friend: $25 or More Additional	$__________
Donor: $50 or More Additional	$__________
Century: $100 or More Additional	$__________
Sustaining: $250 or More Additional	$__________
Benefactor: $500 or More Additional	$__________
Other Contribution	$__________
TOTAL		$__________
Contributions are tax deductible.
Name:___________________________________ Phone:_____________
Street Address:_______________________________________________
City/State/Zip:_______________________________
E-Mail Address:________________________________
Please Circle One: NEW or RENEWAL
Worker: ____________ (Name of person who may have contacted you)
Your e-mail address and telephone number will only be used to contact you regarding this application or to notify you if there is an unforeseen schedule change. Performance artists and dates are subject to change. Your check is your receipt. Membership cards will be mailed in the fall.