Dakota City Heritage Village

Yes, enroll me as an annual member of Dakota City Friends of the Village at the following level:

 (  ) $35 Individual                    (  ) $75  Family

This membership is:  (  ) New         (  ) Renewing           (  ) Gift Membership

NAME ____________________________________________________________________________

ADDRESS _________________________________________________________________________

CITY ________________________________________ STATE _______ ZIP ___________________

PHONE  (      )__________________________        E-MAIL _________________________________

Please make your check payable to: Dakota City Heritage Village, Inc.

Return your check with this form to: Membership, Dakota City Heritage Village, P.O. Box 73, Farmington, MN 55024

06/08