Membership Application
From your Web browser, print out this page, fill it out and mail it in.
Name: ____________________________________________________
Address:___________________________________________________
City:__________________State:________Zip Code: ____________
Phone: _________________________________________
I would like to participate in the following activities:
| _____Art/Cultural | _____Business Opportunity | _____Health and Medicine |
| _____Recreational | _____Port | _____Labor |
| _____Student Exchange | _____Municipal Service | _____Other |
Annual dues:
_______ $15.00 Individual
_______ $10.00 Student
_______ $25.00 Family
_______ $100.00 Corporate
Please make checks (tax deductible) payable to:
Seattle-Gdynia Sister City Association
Mail to: