Please fill out this form, then print and mail with donation to:
FOCOL
P.O. Box 1722
Appleton, WI 54912
 

Name
Organization
Street
City Zip
Phone Fax
Email address

Yes, I'd like to become a member of Fox Cities Online.
Enclosed is my tax-deductible annual membership donation:

$15 Student/Senior $25 - $49 Regular  $50 - $99 Supporting $100 - $499 Sustaining $500 - $1000 Benefactor Over $1000 Guarantor

I'm interested in getting my organization's web page on Fox Cities Online.  Please contact me.
No  Yes 

I'm interested in having an email account on Fox Cities Online.  Please contact me.
No Yes 
 

Membership is good for one year.

Make checks payable to:
FOCOL