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Membership Form Print E-mail
Wednesday, 02 April 2008 00:37

MEMBERSHIP FORM

COME BE PART OF THE FUN! If you like to party, enjoy the beach and the lake, meeting new friends and finding new ways to bring joy to other people, then please print and fill out this application! After filling out this form, please submit it along with ten dollars ($10.00) for your yearly dues. This form is for one person, but if you are married or live with a “designated other” you may use one form showing both names, however; you must submit dues for both.

Date:_______________________________________________

Name:______________________________________________

Mailing Address:______________________________________

City, State, Zip:_______________________________________

Home Phone#:_________________Cell Phone#_____________

E-mail Address:_______________________________________ Fax #:__________________________

Please link your Food Lion "MVP" card to us:___________________________________

(We need all 12 numbers, including the "little" ones at the start and end.)

MEMBERSHIPS ARE DUE EVERY YEAR BY DECEMBER 1st

$10.00 PER PERSON

Mail to:

High Rock Lake River Rats Inc.

P.O. Box 567

Southmont, NC 27351

Attn: Jean Creed, Membership

 

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Last Updated on Friday, 05 December 2008 02:16