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Membership Application
Date: ______________________
Name: _______________________________________________________________ Address: _____________________________________________________________ City: _______________________________ State: _____ Zip: _________ Boating club affilifation (if any): ________________________________________ NEW _______ RENEWAL _________
Individual member $15.00 Addtl. Lobbyist Contribution (Optl.): $____________ TOTAL: $____________ Comments are invited: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________
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