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Member's Name:_______________________________________________________________________
Is this membership a gift? (If yes, from whom?)_______________________________________________
Address:_______________________________________________________________________________
City:_____________________________________________ State:__________ Zip: _________________
Email:__________________________________________________________________________________
Telephone:(______)___________________________Would you prefer electronic newsletters?_________
Or call Laurie at (360) 254-1562 ext 112 to set up or renew your membership over the phone.
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