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Application
Application Form

A one time $40 initiation fee must accompany this form before being approved by the Board of Directors. Annual membership dues are $120 (October 1st - September 30th). Discounts are available for multiple house hold members.

Please complete the application form below

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* Required information.
Today's Date *
First Name *
Middle Initial
Last Name *
Address *
City *
State *
Zip *
Birthday Month / Day ONLY *
Phone *
E-Mail *
Occupation *
Business Phone
Spouse Name
Past or present civic or service club membership
SPONSOR NAME *

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