Dollars Renewal Form

 

 

Please Print out this form, fill it out, and send the form with your check payable to Dollars to the address below.

DOLLARS
6887 N. ADAMS RD.
BLOOMFIELD HILLS, MI. 48304

DOLLARS DUES ARE DUE JANUARY 1ST. THEY ARE $100 PER PERSON OR $150 PER MARRIED COUPLE.

IT REALLY HELPS US OUT IF YOU RENEW EARLY SO PLEASE DO SO.

THE NEWSLETTER WILL STILL BE SENT OUT BY E-MAIL SO PLEASE INCLUDE YOUR E-MAIL ADDRESS. IF YOU DO NOT HAVE E-MAIL PLEASE STATE SO WHEN YOU SEND IN YOUR RENEWAL.

NAME(S)_____________________________________________________

ADDRESS_____________________________________________________

HOME PHONE_____________, CELL PHONE______________________

BUSINESS PHONE________________, E-MAIL_____________________

DO YOU LIKE RECEIVING THE NEWSLETTER BY E-MAIL?_________

PLEASE RENEW EARLY