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Membership Application
Annual Membership Over 18 Years of Age ………………………$20.00 Donation Levels Friend of Richard Calloway …………………….…$30 - $49 If you choose to make your donation in honor of an individual, ancestor, or early _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ Name: ____________________________________________________ Address: __________________________________________________ City: _________________________ State: ____________ Zip: _______ Telephone: Day: ___________________________________________ Email: ____________________________________________________ Please make check payable to: Mail to: Thank You! |
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