Circus City Festival, Inc. Membership Form

CIRCUS MEMBERSHIP FORM
Friday, September 10, 2010

Make checks payable to:
Circus City Festival, Inc.
154 N. Broadway
Peru, IN 46970

Call with questions: (765) 472-3918

JOIN OUR COMMUNITY CIRCUS
Circus City Festival Membership
We earnestly solicit your membership support in the
Circus City Festival


	Life Membership	$1,000.00
	Option: The Life Membership can be paid over a consecutive five-year period at $200 each year
	Patron Membership	$500.00
	Donor Membership	$250.00
	Century Club	$100.00
	Sustaining Membership	$50.00
	Contributing Membership	$25.00
	Circus Family Membership	$20.00
	Adult Membership	$10.00
	Student Membership	$5.00

Circus memberships are valid from January 1 through December 31 and are tax deductible


NAME:
ADDRESS:
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EMAIL:
ALUMNI - please include dates and/or number of years in circus