Friends of the Mines of Spain
Annual Membership - Donation
Name(s)_______________________________________________
Address_______________________________________________
City_________________________
State_______________________
Zip_________________________
phone________________________
email________________________________
Please check one of the following.
___$20 Family
___$10 Individual
___$ Additional Donation (All donations go toward an annual membership)
All contributions are tax deductible
Please print and fill out the above form, make check payable to: Friends of
Mines of Spain
Send to:
Friends of Mines of Spain
8991 Bellevue Heights
Dubuque, IA 52003-9214