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If you
would like to join the Golden Cultural Alliance, please
print this form, complete it, and mail it with your check
to:
Golden
Cultural Alliance
1289 N. Ford Street
Golden, Colorado 80403
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Organization
___ Individual
____________________________________________________________
Name
____________________________________________________________
Contact Name (Organization Only)
____________________________________________________________
Address
____________________________________________________________
City, State, ZIP
____________________________________________________________
Phone
____________________________________________________________
Fax
____________________________________________________________
e-mail
Category
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Individual, $20 |
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Non-profit, $40 |
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Sponsor, $75 |
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Patron, $100 |
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Benefactor, $500 |
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