If you would like to become a member of our club, print this form, fill it out and mail it to Taz Lamm, P.O. Box 2226, Fort Pierce, FL 34954 or bring it to our monthly meeting.
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Names: 1._______________________________________________________________ 2._______________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________________ Phone: _______________________
Cell: 1.________________ 2.________________
E-mail:_______________________________________________________________ Birthday: 1.________________ 2._________________ Anniversary: ___________
Car: Year _________ Color ________
Theme ______________________________
Would you be interested in serving on a committee?
Yes No (circle one)
What are your hobbies or interests? ______________________________________________________________________ ______________________________________________________________________ Membership dues are $25.00 per person or $35.00 per family.
