Membership  Form
and SAGE Wear

All Memberships expire on January 8th of the following year. 
Please fill-in the form and print the web page then mail in the form with your check.

MAIL IN MEMBERSHIP FORM / SAGE Wear Form

SAGE/Milwaukee Office
1845 North Farwell, Ste. 220, Milwaukee, WI 53202

Sign up for:

Price each

$35.00

New or Renewal Membership



$50.00

Business Membership

$25.00

Second Regular Membership


SAGE Wear Total

Total:

Name:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

Birthday

VISA or MasterCard #

Expiration Date

Signature

Check here if its OK for us to send mail to you.

Check here if its OK for us to telephone you.

Check here if you would like to volunteer for a

Check here and supply your email address above if you would like the newsletter sent to you as an email attachment.

Press to reset the form, erasing all entries.

Please fill out and  return this form with your check. 

All membership information is completely confidential, and not shared with others.



Note:
If you have a limited income and cannot afford the full membership fee, contact an officer or director and a partial scholarship can be arranged, confidentially.  All memberships expire on January 8 of the following year.

Click to see the SAGE Wear Flyer

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