Membership Application Form

Membership w/ Kenai Performers

Membership runs JANUARY 1st through DECEMBER 21st.
Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Home Number*
Format: (000) 000-0000.
Alternate Number
Format: (000) 000-0000.
Signature*
Signature Date

MonthDayYear
Date

Membership: Donors of $50 and more will have their names printed in our programs. *

Individual

$25.00

Family

2 or more in same household

$50.00

Lifetime

$400.00

Total

$0.00

Membership w/ Kenai Performers