| Do you have an e-mail address?
|
| How did you originally hear
about our Society? |
| Do you wish to receive The Legacy
publication? |
| HELP WANTED:
What fuction(s) will you be able to help the Society with? (check all that apply)
_______ Fund Raisers such as Barbecue
_______ Clean Up |
| *FAMILY Membership - List all
household members to be included on the membership. For voting
privileges, please list the birth dates of those members under 18 years
of age. |
| Suggestions or Comments: |
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