Membership Application

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NO _____________________

 

 

 

Date_________________________________    New Member_____  Renewal Membership_____

 

 

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NAME

 

_____________________________________________________________________________________________

ADDRESS

 

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CITY, STATE, ZIP

 

_____________________________________________________________________________________________

 Preferred PHONE

 

 

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EMAIL ADDRESS

 

 

Membership Dues: $35.00. Includes local, state, and national dues.

Make check payable to: Galveston Island Pachyderm Club

Bring this form with your check to the meeting or mail to:

 

Rubye Brown, Treasurer

1991 Serenity Lane

League City, TX  77573

Membership dues are $35.00 per year and include local, state , and national fees. Complete the information below and either bring it to a meeting or mail it to: Rubye Brown, Treasurer, 1991 Serenity Lane, League City, TX 77573 along with your check.

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