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