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Sierra-Diablo
Matchcover Club
Membership
Application |
Name:_____________________________
Telephone:__________________
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E-mail:__________________ |
Address:_____________________________________________________
The following information is requested
so that we have an idea of each member's collecting categories
to be included in the annual membership listing.
General Collector________(yes)___________(no)
Favorite categories...
1.___________________ 2._________________
3.___________________
4.___________________ 5._________________
6.___________________
- Annual dues: $10 (individual),
$15 (family-submit all names), $15 (Canada/
- Mexico), or $20 (outside N. America).
Dues go from April 1st to March 31st
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- I enclose payment of $________for______memberships.
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- Birthdate (month/day):____________________
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- Signature:__________________
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- Please send application and dues
to: Jack Benbrook, 1328 E. Rossier St., Prescott, AZ 86301 (E-mail:
fi8cus@cableone.net).....
- AND WELCOME TO SIERRA-Diablo and a great hobby!
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