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2010 MEMBERSHIP FORM
$25.00 General/Family
$20.00 Senior, Student or Pottery Guild Member
Date: __________________
____________________________
Name
____________________________
Mailing Address
_____________ _____ _______
City State Zip
____________________________
Phone / Cell
____________________________
e-mail
Please make checks payable to:
Peninsula Art Guild
P,O, Box 703
Kenai, AK 99611
(907) 283-7040
ourkfac@gmail.com
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