MOCLIPS-BY-THE-SEA Historical Society and Museum
MEMBERSHIP APPLICATION
Business Name
User Name 1
User Name 2
Mailing Address
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>>>>>>>>>>>
Will you be able to attend meetings?
Yes
No
Are you interested in joining a committee?
Yes
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Membership
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Check one or more
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Advertising
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Comments
If you have 2 new members with different committee preferences, add in comments above
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Membership Dues Schedule
(check one)
Individual - $20.00/per year
Couples $30.00/per year (1 vote) $40.00 per year (2 votes)
Business/Corporate $35.00 per year
Contributing Individual or Business $40.00+ per year
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