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BECOME A WAUKEGAN MAIN STREET MEMBER

BIG C CAMPAIGN

Yearly Member Level (membership year May 1 - April 30):



       

Please provide the following contact information:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Work Phone

Home Phone

FAX

E-mail

credit card

I would like to pay by credit card

The more prepayment we get, the faster registration will go!  If you are paying by check, send to Waukegan Main Street, 221 North Genesee, Waukegan, Illinois

If you check the credit card box, office staff will call you to complete the transaction.

Please let us know if you would like to support Waukegan Main Street in a more substantial way through our Big C Campaign

CORNERSTONE
$10,000 and up

COLUMN
$5,000 - $9,999

CORNICE
$2,500 - $4,999

CANOPY
$1,000 - $2,499

Call
Theodora Anderson
Executive Director
847.623.6650

or

Dennis Moisio
Chairman, Big C Campaign
847.662.3380