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Become a Member |
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To become a member, print this page, then fill in the blanks and |
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send to the address on the top of the page. |
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Don't forget to include your check for payment. Payment by check or money order only please! |
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Green Oak Township Historical Society |
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Membership Form |
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| Name | |||
| Address | |||
| City | State | Zip | |
| Phone with Area code ( ) | |||
| Interests, Skills , Ways that I can help with society Projects / Activities: | |||
| Membership: Check Appropriate box | |||
| ( ) Individual $15.00 |
( ) Family $20.00 |
( ) Patron $ 40.00
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( ) NEW |
| ( ) Business Professional $40.00 |
( ) Life $ 350.00 |
( ) Student $ 2.00 5-21 |
( ) RENEWAL |
| WOULD YOU LIKE A MEMBERSHIP CARD SENT TO YOU ( ) Yes ( ) No | |||
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