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Membership Application 2018 - 2019
FOR MEMBERSHIP QUESTIONS
CONTACT
Sue Welfringer
Vice President - Membership
sue@welfringer.com
714-809-3521
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Today's Date
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First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Zip Code
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Phone Number
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This is my
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Home
Business
Cell
Alternate Phone:
This is my
Home
Business
Cell
Email Address
Spouse / Significant Other / Emergency Contact
Relationship
Spouse / SO / Emergency Phone Number
Applicant's Birthday
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Area of Interest
Membership Fee: $36.00 -- Will Pay By:
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Check
Cash
Applicant's Signature
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If completing this form manually, please make check payable to:
Sand Dollars of Huntington Beach
and postal mail application to:
Sand Dollars of Huntington Beach
Attention: Membership
P. O. Box 7349
Huntington Beach, CA 92615