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Membership

 
MEMBERSHIP FORM
please print this page and mail it in
PO BOX 4, Bayport, NY 11705
Click here to download PDF file
 
 

NAME:______________________________________________

ADDRESS:___________________________________________

TELEPHONE:_________________________________________

 

 

Annual Dues:

Annual Dues

Family: $25
Senior Citizen: $10
Individual: $15

Paid

Cash____________
Check____________
Membership Card Requested____________
Date Card Issued (for office use only)
_____________

 
Call 631.472.4625 to find out how to join our association!
 
 

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