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Social Club Newsletter Sign Up

*Note: Items marked with an asterisk are required*
New Member ($60.):
Senior Men's Club (60.00):
Men's Club ($60.):
Ladies Club ($60.):
Junior ($35.):
Associate Member ($35.):
*Last Name:
*First Name:
*Initial:
*Address 1:
*City:
*Zip/Postal Code:
*Prov/State:
*Email Address:
*Phone:
*Phone: Cell/Work:
*Fees Paid::
*Date::
Received::
FEES TO BE PAID BY MAY 1 2016:
 

 

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