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Foster Preservation Society
Membership Application Form
Date of application __________ |
| Name: | |
| Address: | |
| Phone: | |
| Email: | |
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PLEASE CHECK THE APPROPRIATE MEMBERSHIP CATEGORY BELOW |
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________ Student |
$10.00 / year |
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_______ Individual |
$15.00 / year |
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_________ Family |
$20.00 / year |
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______ Corporate |
$50.00 / year |
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______ Lifetime |
$150.00 / year |
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Please print, fill out and mail this form to:
Foster Preservation Society P. O. Box 51 Foster, RI 02825 revised: 7/2011 |
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