Friends of the Foundation Membership Form

Please fill out the form and then print it out and mail it to the address below.

  Name:    
  Street Address:    
  City:    
  Zip:    
  Home Telephone:    
  Work Phone:    
  Fax Number:    
  E-mail Address:    

Please mark the level of participation you wish to make.

One Star   $15-$50  
Two Star   $51-$100  
Three Star $101-$500  
Four Star   $501-$1,000  
Five Star     $1,001-$10,000  
Presidential Above $10,000  

Print out completed form and mail to address below.

Checks should be made out to:

The Eisenhower Foundation
PO Box 295
Abilene, KS 67410

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