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ALGONAC / CLAY TOWNSHIP HISTORICAL SOCIETY
Membership Application |
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| Name: |
_____________________________________________________________________ |
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| Address: |
_____________________________________________________________________ |
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_____________________________________________________________________ |
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(city) |
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(state) |
(zip) |
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| Phone: |
(___) ___-____ |
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Individual |
$12.00 |
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Patron |
$25.00 |
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Family |
$20.00 |
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Life Individual |
$150.00 |
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Business |
$25.00 |
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Life Family |
$200.00 |
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Please complete this form and send with your check to:
Algonac/Clay Township Historical Society
P.O. Box 228
Algonac, MI 48001
Membership Application
Copyright© 2008 Algonac-Clay Township Historical Society
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