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Membership Form


YORK WHITE ROSE WANDERERS MEMBERSHIP APPLICATION


 


DATE _____________________


 

NAME(S) ___________________________________________________________


 

CHILDREN (WALKING) ________________________________________________


 

STREET_______________________CITY__________ ST ______ ZIP___________


 

PHONE_____________________   EMAIL __________________________________


 

MEMBERSHIP FEE:       ONE YEAR $10 PER HOUSEHOLD                NEW___ RENEW ___


                                       THREE YEARS  $20 PER HOUSEHOLD        NEW___ RENEW ___


 


PLEASE SEND PAYMENT WITH FORM TO:         YORK WHITE ROSE WANDERERS


                                                                                C/O DEB CHOINIERE


                                                                                1696 VALLEY VISTA DR.


                                                                                YORK, PA   17406


 


 


 


 


 





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