City of Shawnee Town

Type of Membership:	Friend - $35  Business Friend - $100  Active Volunteer/City Employee - $25
Name:
Business Name: (if Business member)
Business Phone:
Address:
City:	State:   ZIP:
Phone:
Fax:
Email:
Method of Payment:	Check   Credit Card   Cash/Money Order You will be contacted for payment information and membership confirmation.
Gift Membership:	Yes   No

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