The Kitsap Aquarian Online

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How to Join/Application

� IF YOU WISH TO JOIN THE KITSAP AQUARIUM SOCIETY AND RECEIVE OUR BULLETIN - THE KITSAP AQUARIAN - PLEASE FILL OUT THE APPLICATION COMPLETELY AND MAIL IT TO THE ADDRESS BELOW. UPON RECEIPT OF THE COMPLETED APPLICATION YOU WILL BE SENT A MEMBERSHIP CARD.

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THANK YOU.

KITSAP AQUARIUM SOCIETY
P.O. BOX 1145
SILVERDALE, WA 98383
Attention: Membership

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(Hint, you can fill out the application online, then print it and send it)

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KITSAP AQUARIUM SOCIETY

P.O. BOX 1145

SILVERDALE, WA 98383

Attention: Membership

I (WE) DO HEREBY MAKE APPLICATION FOR MEMBERSHIP IN KITSAP AQUARIUM SOCIETY

DATE:

NAME :

PHONE:

ADDRESS:

CITY: STATE:

ZIP CODE:

AGE ( IF UNDER 21)

BIRTHDAYS (MONTH & DAY)

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YEARS IN TROPICAL FISH:

YEARS IN MARINE FISH:

YEARS IN HERPS:

NUMBER OF AQUARIUMS:

WHAT TYPES OF FISH and/or HERPS ARE YOU INTERESTED IN:

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TYPES OF CLUB FUNCTION or ACTIVIITES MAY YOU BE INTERESTED IN: (CHECK AT LEAST THREE)

BULLETIN PROGRAMS RAFFLES & AUCTIONS FUND RAISERS

LIBRARY FISH HERPS REFRESHMENTS

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HAP PLANTS FISH SWAPS BREEDERS AWARD PROGRAMS

MEMBERSHIP BOWL SHOW HOME SHOW ANNUAL SHOW

OTHER

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Would you be willing to give a PROGRAM or LECTURE at a monthly meeting on your favorite fish, herps, plants or other related subjects? Yes No

Topics:

Do you OWN or OPERATE a Fish or Pet Shop? Yes No

If so, where

Do you belong to another Aquarium Society or a National Club? Yes No

If so, who

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MEMBERSHIP DUES: $15.00 per person for Active or Corresponding Members; $2.50 per person for each additional member within the same family (not exceeding $20.00 per family). This applies to all residents of the U.S. outside the United States: $15.00 (U.S. Funds) per person and $2.50 for each additional member within the same family. Dues for all students each year, 18 and under: $7.50 per year. If you join in May, then you need to renew dues the following May - One year membership. Dues entitle you to ten copies of the KITSAP AQUARIAN a year. Many stores in the area give a 10% discount to our members when you show them your up-to-date membership card. See the ads in our Bulletin.

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�TYPE OF MEMBERSHIP: ACTIVE CORRESPONDING FAMILY JUNIOR

COMMENTS:

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• IF YOU WISH TO JOIN THE KITSAP AQUARIUM SOCIETY AND RECEIVE OUR BULLETIN "THE KITSAP AQUARIAN". PLEASE FILL OUT THE APPLICATION COMPLETELY AND MAIL IT TO THE ADDRESS ABOVE. UPON RECEIPT OF THE COMPLETED APPLICATION YOU WILL BE SENT A MEMBERSHIP CARD. THANK YOU.

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