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Friends of Dennis Senior Citizens Membership July 1, 2009 - June 30, 2010 Membership Dues Form.... Annual dues: $7.00 per person - $14.00 per couple. Life membership dues: $75.00 per person Is this a new membership? _____ Or a renewal? _____ Please print Name: Mr.____ Mrs.___ Ms.___ _________________________________________ Mailing address _____________________________________________ Street address _______________________________________________ Town, State, Zip code __________________________________________ Telephone #: (______) ____________________ E-mail address _________________________________ Amounts enclosed: Annual Dues ..............$___________ Life membership dues .............................$____________ Tax Deductible Donation (optional) .......$_____________ Total enclosed ............................ $_____________ Please make check payable to: Friends of Dennis Senior Citizens, Inc. Mail to: Friends of Dennis Senior Citizens, Inc., PO Box 287, South Dennis, MA 02660 Please include a self-addressed stamped envelope for the return of your membership card, or come into the office in person. |