Anacortes Sister Cities Membership Application

Name(s) _______________________________ Address _______________________________ City, State, Zip__________________________ Phone: Res.____________ Bus. ____________ Fax ________________ E-Mail ____________

Type of Annual Membership
(Please check appropriate box):

Individual $25 Family $35 Youth (to age 21) $15 Organization $35 Business $50 Individual Sustaining $85 Individual Patron $300 Family Sustaining $150 Family Patron $500

Make check payable to Anacortes Sister Cities Association

Mail to:

Anacortes Sister Cities Association

P.O. Box 1464

Anacortes, WA 98221