To become a member or renew membership please print this form.
Fill in the blanks and send to the address below. Please enclose your check made payable to
Mid America Geographic Foundation and mail to the following address:
Mid America Geographic Foundation
P.O. Box 722 99W 2nd St
Fond du Lac, WI 54935
| Name_______________________________________________________________ | ||
| Address_____________________________________________________________ | ||
| City_______________________________ | State____________ | |
| Phone_____________________________ | ||
| Email______________________________ | ||
| Type of membership: | Amount | |
| Individual | $15.00 | |
| Individual senior (age 62) | $10.00 | |
| Family (children included) | $25.00 | |
| Student (includes adult with student ID) | $10.00 | |