52 Sheboygan St

Fond du Lac, WI

921-5410

Fond du Lac Arts Council Membership Form

Return this form and receive $5.00 off your membership.

    ____Single - $35      ____Couple/Family - $60      ____Senior/Single -   $25

     ____Senior/Couple - $50       ____Patron - $100 - $249 (plus 2 free tickets to concerts)

     ____Benefactor - $250-$499 (plus 4 tickets)      ____Advocate - $500 or more (plus 6 tickets)

                                      Name ______________________________________

                                      Address ____________________________________

                                      City, State, Zip _______________________________

This coupon provided by www.fonddulac-community.com.