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Name:______________________________________ Address: __________________________________ City & Zip Code:___________________________ Telephone: ________________________________ Fax: _______________ E-mail: ____________________________________ Annual Dues: Year: 20____ Men's____ Women's____ $10.00 per year $5.00 per year Annual Dues: Year: 20____ Men's____ Women's____ $10.00 per year $5.00 per year Past Years Annual Dues: Men's____ Women's____ $10.00 per year $5.00 per year Special Donation: __________ Total Amount Included: ____________ PLEASE NOTE. In order to process your dues or donations you MUST print this page with all your information filled in, then mail it to: Mr. George Stratos Treasurer 52 Aspen Way Rolling Hills Estates, CA 90274 |