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Dirksen Center Friends Membership
 

To become a Dirksen Center Friend, please complete the form below and send a check for $25 made payable to "The Dirksen Congressional Center" to:

Membership
The Dirksen Center
2815 Broadway
Pekin, IL 61554

or

Payment can be made online through




Yes, sign me up! Please enroll me as a Dirksen Center Friend at the following level of support:

Check here if this is a renewal.

Dirksen Center Friend ($25)

or

Please send me a membership enrollment form so I can enroll by mail


* (The following are required for all membership requests)

* First Name

* Last Name

* Address

* City * State

* Zip

* Country

*Area Code (e.g., XXX)

* Phone (e.g., XXX-XXXX) -

Area Code (e.g., XXX)

Fax (e.g., XXX-XXXX) -

E-mail


If you are willing to be called for help on Center-related projects, please check below:

I am willing to help The Center on special projects.


Additional Comments or Instructions:




If you have any questions or would like further information, contact Frank H. Mackaman at fmackaman@dirksencenter.org or call him at (309) 347-7113.

The membership year is January 1 through December 31. If you join in October or later, your membership will extend to the end of the following year.


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