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MEMBERSHIP FORM Membership Information $20 Annual Dues If paid after the Feb. meeting, there is a $5 additional charge, so get your membership in early!
Name:_______________________________________________ Address:_____________________________________________ City: _________________ State:_______ Zip: ___________ Telephone: ______________ E-Mail:_________________ Dues for year 200___ Amount:_______ New:___ Renewal:___ Date Paid:______________ Check No.: ________ Cash:______ Please include a 35 word bio:
Dues are renewable in February of each year. |
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Last update: Sunday, September 09, 2007 |