Membership Application Form

Membership w/ Kenai Performers

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

First Name Last Name
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
example@example.com
Home Number *
Alternate Number
Signature *

Clear
Signature Date

Month Day Year
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

Credit Card

I would like to receive the electronic Kenai Performs Newsletter.

Please add me to your subsciption list.
I am interested in volunteering with Kenai Performers.

Please contact me!
Kenai Performers, Inc. is a 5019c(3) registered organization.

Tax ID 23-7268659

44045 K-Beach Rd., Ste D

Soldotna, AK 99669

907-420-0599

kenaiperformers.org
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