Bears Tomorrow, Inc. Application Form

MEMBERSHIP APPLICATION

BEARS TOMORROW, INC

 

NAME: ______________________________________

ADDRESS: ______________________________________

______________________________________

EMAIL ADDRESS: _________________________________

PHONE NUMBER:_________________________________

Individual Membership: $50.00 ___________

Family Membership: $100.00 ___________

Blue and Gold Sponsor: $250.00 ___________

Platinum Sponsor: $500.00 ___________

Bear Backer: $1,000.00 ___________

Tax deductible contributions and membership applications may be mailed to:

Mail to:

Bears Tomorrow

c/o C. Robert Buckley

19049 E. Valley View Parkway

Suite C

Independence, MO 64055

bbbuckley@wagblaw.com

816-373-9080