5
.

 






























     

 

 

 

Membership Application

I am interested in receiving more information about The Saint Louis Ambassadors.

Please fill out the form below. Fields that are listed in BLUE are REQUIRED fields and will not let you save before filling them out.

   
Name:
Company:
Address 1
Address 2
  City: State: Zip:
       
Home Phone:
Busness Phone: Ext:
Business Fax:
Home Email:
Business Email:
  Please place my email and address on your mailing list
Membership Category

(Scroll down to see membership categories or click here to jump to the categories )

Comments:
   



Membership Categories

Corporate Membership ($1000)
flurblt.gif (1696 bytes) Four company memberships
flurblt.gif (1696 bytes)Eight complimentary tickets to Annual Ball
flurblt.gif (1696 bytes) Membership entitlements

Full Annual Membership ($300)
flurblt.gif (1696 bytes) Membership entitlements
flurblt.gif (1696 bytes)Two complimentary tickets to Annual Ball

Young Ambassador Annual Membership ($125)
flurblt.gif (1696 bytes) Membership entitlements
flurblt.gif (1696 bytes) One complimentary ticket to Annual Ball

Junior Ambassador Annual Membership ($50)
flurblt.gif (1696 bytes) Membership entitlements not included

Retired Ambassador Annual Membership ($150)
flurblt.gif (1696 bytes)Membership entitlements
flurblt.gif (1696 bytes) One complimentary ticket to Annual Ball

Return to membership category field


 
   
Home|Mission|Testimonials|Cabanne|History|Facts|Programs|Volunteers
Calendar|Photos|Membership|Resources|ContactUs
The Saint Louis Ambassadors, Cabanne House, 5300 Lindell at Union, St. Louis, MO 63112
Phone: 314-454-1488, Fax: 314-454-1861, E-Mail: [email protected], Internet: www.stlouisamb.org
 Copyright 2000. All rights reserved.