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MEMBERSHIP APPLICATION |
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Please Print Clearly |
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Name/s_________________________________________________________________ |
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Address________________________________________________________________ |
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City____________________________________________________________________ |
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State/Country___________________________________________________________ |
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Zip/Postal Code________________________ |
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Phone Number (_______) __________________ |
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Do you have any special interest? |
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_______________________________________________________________________ |
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Single.........................................$10.00 |
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Husband & Wife.......................$15.00 |
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Student......................................$ 2.00 |
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Family........................................$20.00 |
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Amount Paid........................Check [ ] Money order [ ] |
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Check One |
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Renewed Membership [ ] |
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New Membership [ ] |
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Support The Fort, Inc. |
New Memberships received after January 1st of the current year will be valid thru the year until the annual meeting next year. |
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Benefits of Membership |
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