Po.L.K. of A. Application Minnesota Parent Klub Print and mail to Po.L.K. of A.

Maddie Spiess

210 First St SE

Madelia MN 56062

 

 

New____ Renewal____ Amount Paid $_______ Name_____________________________________ Address___________________________________ City_______________ State______ Zip__________ Phone____________________________________ Birthday/Month/Year His________ Her's __________ Anniversary________ Print and fill out this application and send it to the address on the application. Dues are $24.00 for couples and $18.00 for singles