Call for Peace Drum & Dance Company Membership Application
Instructions: Please complete form, print (using the browser option) and send form to:
                                        Call for Peace Drum and Dance Company
                                        601 Bayview
                                        Madison, WI 53715
By selecting Bill Me Later, you will be billed for the contribution amount as soon as we receive you membership information. Please make all checks payable to Call for Peace Drum & Dance Company.
Yes, I want to become a member of Call for Peace with my tax-deductible contribution of:
$25.00-$100.00 World Peace Ambassador  $500.00-$1000.00 Gold Member
$100.00-$500.00 Silver Member   $1,000.00 & up Platinum Member  
Please accept my contribution of: $
Name: 
Co-Name: 
Address:
City:
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Also, in order to ensure that your membership experience is a convenient, fun and two-way street, please take a few moments to answer the following questions:

How would you like to renew your membership in the future?
  Annually, please remind me.
  Annually, please do not remind me.
  Please do not contact me again, this is a one time donation.
  Other, please specify:

May we use your name in donor recognition materilals?      Yes       No

Is there anything else you would like to mention with regards to your membership?
  Bill Me Later
  Payment Enclosed