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Print out and complete this Membership Application
and submit with your check.

Recognition of contributions
will be included in our programs and printed materials and web site.
Historic Northeast Cultural Arts Commission
Membership Application

Member level:

    

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 Conductor

$1000

+

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 Symphony

$500

 

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 Orchestra

$250

 

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 Choir

$100

 

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 Big Band

$75

 

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 Quintet

$50

 

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 Duo

$25

 
Check Box  Solo $10  

 

      
What interests you:    

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 Concerts

  

 

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 Literary Events

  

 
Check Box  Visual Arts    
Name: _________________________________________________________
Address: _________________________________________________________
City: _________________________________   State: ____  Zip: ________

E-Mail:

 _________________________________________________________

Mail to:

 Rebecca Koop, President of
    Historic Northeast Cultural Arts Commission
  3922 St. John Avenue
  Kansas City, Missouri 64123
  (816) 483-6964