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| 		APPLICATION FOR MEMBERSHIP | |||||||||||
| ( ) 1 Year Membership		Single $7.00	H&W $10.00 | |||||||||||
| ( ) 3 Year Membership		Single $18.00	H&W $25.00 | |||||||||||
| Name:______________________________________Phone#:________________ | |||||||||||
| Address: __________________________________________________________ | |||||||||||
| City:______________________State:________________ZIP:________________ | |||||||||||
| Email address: _____________________________________________________ | |||||||||||
| Colors raised:_______________________________________________________ | |||||||||||
| Send Application and Check to: | |||||||||||
| Will Sutton | |||||||||||
| 9055 SW HWY 82 | |||||||||||
| El Dorado Springs, MO 64744 | |||||||||||