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Millennium Costumers Guild |
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Membership Form |
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Membership is $20 for Individuals ($16 Local, $4 National) For Household Memberships, please add $4 National for each additional member at the same address. Only one newsletter is sent to Household memberships. |
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Name |
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Address |
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Phone Cell |
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Household members: |
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Email: |
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Interests: |
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Mail Form and Payment to: Vandy Vandervort 2854 Tincup Circle Boulder, CO 80305-7143 |
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Amount Enclosed: ____________ Make Checks payable to: Vandy Vandervort |