Annual Membership for 20___:
Individual -- $35.00
Family -- $50.00
Renovation Contribution: _______________
Name ___________________________________________________________
Email Address _______________________________________
Summer Street Address _____________________________________________
Summer City ____________________ State _________ Zip Code ______
Summer Phone _____________________
Winter Street Address _____________________________________________
Winter City ____________________ State _________ Zip Code ______
Winter Phone ____________________
Yes! I would consider volunteering for service.
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