United Nations Association-McLean County Chapter

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Membership Form

Please mail this form to McLean County UNA-USA, Attn. Membership, P.O. Box 1901, Bloomington, Illinois 61702. Printer Friendly Version

Member   Spouse/Other
Title:   Title:
First Name:   First Name:
Last Name:   Last Name:

Address

Street 1:
Street 2:
City:
State:
Email Address:
Home Phone: Work Phone:
I am: A new member
Renewing my membership

Membership Categories:

$1,000 Lifetime Membership, a one time payment.
$500 Patron
$100 Sponsor
$40 Member
$25 Introductory, first year only.
$25 Fixed Income
$10 Student

In addition to my membership dues, I would like to make a contribution to the McLean County UNA-USA of $

Please mail this form with a check payable to the McLean County UNA-USA.

Printer Friendly Version

Membership in the UNA-USA is open to citizens and residents of the US. The UNA-USA is a non-profit organization.

McLean County UNA-USA
P.O. Box 1901, Bloomington, Illinois 61702
Jim Nelson, President jlnelso3@ilstu.edu, (309) 862-1844