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Waxahachie Chautauqua 2010
Membership Form


Join or renew by June 15 
to receive
two complimentary tickets to Chautauqua 2010

Name(s):
_________________________________________________
Address: _________________________________________________
City: ________________________  State:_____  ZIP:___________
Phone: ________________________
Email:
_________________________________________________

__ Check here to receive occasional Chautauqua Notes email updates.
I am a (check one):    ___New Member     ___Renewing Member

Membership Levels & Associated Benefits:
(PLEASE CHECK ONE)
__ Basic $25
Mailings, Notices & Assembly Updates for 2010
Two Complimentary Tickets to Assembly (Saturday, September 25, 2010)
__ Supporter $60
All of the above, plus…
Name Listed in Assembly Day Printed Program 
__ Founder* $120
All of the above, plus…
Invitation for two to Chautauqua Eve Reception (Friday, September 24, 2010)
__ Sponsor* $250
All of the above, plus...
Signed copy of Waxahachie (Images of America)
by Kathryn Eriksen & Laurie Wilson

__ Lifetime Patron* $600
(one time payment)
All of the above, plus…
Patron Benefits for Life
Name/Email/Link on Chautauqua’s website


Just print this page
and send it along with your check to:

Chautauqua Preservation Society
PO Box 126
Waxahachie, Texas 75168