KOTC Membership Form 2006

KEEPERS OF THE CULTURE, INC.
P. O. Box 15083
Philadephia, PA 19130
1.888.920.9627
www.KOTC.org

If you are in support of our mission and want to join us in
"Telling Our Story, Claiming Our Glory!"

KOTC is open to all who are in support of our mission and can be supported annually in the following ways;

Individual $25
Junior (under 18) $15
Elder (over 60) $15
Supporting $50
Life Member $400.00

Please check all that apply to you.

STORYTELLER:_________ SPOKEN WORD/POET:__________ AUTHOR: __________
EDUCATOR:________ CRAFTPERSON:___________ ORAL HISTORIAN:________
MUSICIAN:_________ What kind:_________________________SINGER:__________
DANCER:________ SCULPTOR:_________RESEARCHER:_______VISUAL ARTIST:__________

TYPES OF STORIES YOU TELL OR WOULD LIKE TO TELL:

____________________________________________________________

(Please share further information about yourself on the back of this form)

Please check the committee(s)you would like to serve on:

( ) Archival ( ) Constitution and By Laws ( ) Executive
( ) Fundraising ( ) Program Development ( ) Public Relations
( ) Youth Development

Yes, I want to be a_______________________ member and support KOTC!

AMOUNT ENCLOSED:__________________________

Date Received by KOTC______________________

Please print out and mail all 3 pages, make copies for your files and enclose a check or money order (no cash please).
Payable to KEEPERS OF THE CULTURE, Inc.

On line members receive employment opportunities and enrichment information by e-mail.
All members receive an official membership card, newsletter and an individual promotional web page on the KOTC website!

Asante Sana (Thank you very much!)

WHERE KOTC MEETS

For more information or any other questions
Please clik our mailbox!



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