ST. CHARLES SISTER CITIES PROGRAMS, INC.
MEMBERSHIP FORM

FIRST NAME: LAST NAME:

ADDRESS:

CITY: STATE: ZIP CODE:

HOME PHONE WORK PHONE

CELL PHONE E-MAIL ADDRESS

FAX:

Are you a student interested  in exchange programs? YES or NO

Are you an adult over 18? YES or NO

If you are an adult looking to join, what committee(s) are you interested in?

Membership             YES or NO
Publicity                    YES or NO
Pen Pals                    YES or NO
Business Exchange  YES or NO
St. Charles Octoberfest         YES or NO
Education/Student Exchange YES or NO
Dinner Dance                         YES or NO

Membership Rates:

Individual
 $15/year
Family
 $30/year
Business
 $50/year

If applying for membership, fill out, Print Form,
Enclose Check or Money Order  made Payable
to St. Charles Sister Cities and send via postal mail.
.

PLEASE RETURN FORM AND PAYMENT TO:

ST. CHARLES SISTER CITIES PROGRAMS, INC.
c/o 14 Warwick Court
St. Charles, Missouri 63301 USA

For E-Mail inquiries only:
fill out form above. Add additional comments below:



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