Camp Holloway Association
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Name:________________________
Wife's Name:___________________
Address:____________________________________
Memberships:
Life: $180.00 (___) General: $20.00 (per year)
(___) $35.00 for 2 years
$______
Total:________
Home
Phone:___-___-____ Work Phone:___-___-____
E-Mail:_________________
FAX: ___-___-____
Unit:____________________
Dates:______________
Unit:____________________
Dates:______________
Call
Signs:___________________________________
Please
note:
Life membership fees can be paid in equal
increments of $45.00 per month.
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