Membership: (Check all boxes that apply)
Individual -- $35.00
Family -- $50.00
General Contribution
Name ___________________________________________________________
Email Address _______________________________________
Summer Address ____________________________________________________
Summer City ____________________ State _________ Zip Code ______
Summer Phone _____________________
Winter Address ____________________________________________________
Winter City ____________________ State _________ Zip Code ______
Winter Phone ____________________
Yes! I would consider serving on the Board of Trustees
or working on a committee: _______________________
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