Elgin Community Betterment Club
                                                                      Dirk Torkelson: President
                                                                         Jeff Marcks: Secretary
                                                                      Abbie Peterson: Treasurer

2018 Membership Form

Please select one form of membership:

Individual/Family Membership_____
Business Membership_____    How many employees______
Name: _________________________________________
Address: _______________________________________
Phone Number: _________________________________
Email address: __________________________________
** If we have your email address we can send you our meeting minutes so that you can keep informed of the ECBC
activities even if you are unable to attend meetings.

Dues Structure
Owner/operator Business                                                       $  25.00
Business with 1-3 employees                                                 $  50.00
Business with 4-7 employees                                                 $ 100.00
Business with 8 or more employees                                       $ 150.00
Family/Individual Non-Business membership                          $  10.00

I would like to make a donation of $________ to ECBC in addition to my membership.
We will continue to hold meetings at 11:30 a.m. at the Elgin Library meeting room the 3rd Thursday of every month.

If you are interested in advertising on the www.elginiowa.org website please contact Jeff Marcks at 563-426-5343. The
cost is $25 per year.

Please return this form with your dues and/or donations to:
Elgin Community Betterment Club
PO Box 74
Elgin, IA 52141