Spokane Tilth Membership Form

Name:___________________________________________________________________


Address:_________________________________________________________________


Phone:____________________________ email:_________________________________


Regular/Institutional Membership: $25 Quantity:_____Total:_____


Low Income/Student/Elder Membership: $10 Quantity:_____Total:_____


Your membership dues are tax deductible. Grand Total:___________

Please make checks payable to Spokane Tilth

Send completed form and payment to:

Spokane Tilth
W. 35 Main
Spokane, WA 99201

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