2015 Treasures for Little Children

Membership Registration Form

 

Dues are $35.00 per year.

 

Please mail your payment to:

 

Graham Curtis

c/o Treasures for Little Children

20581 E. CR. 1100 N.

Kilbourne, IL 62655

 

Name_______________________________________

Renewals: If information is unchanged from last year,

no need to fill out the rest.

 

Street___________________________________________

 

City________________________ State _____ Zip _______

 

Telephone___________________Email________________

 

Collecting interests____________________________________

____________________________________________________