WVLE
13480
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Membership Registration:

Student~$2.00
Member (adult)~$10.00
Family~$15.00
Contributing~$25.00
Business, Institutional and Professional~$25.00
Life Membership~$100.00/person
(One payment)

Date_____________________________________________

Date First Joined __________________________________

Name____________________________________________

Address___________________________________________

Phone____________________________________________

Fax______________________________________________

E-mail____________________________________________
Mail to: WHS, 220 E. Main St., Waterville, NY 13480

Your paid-up-to membership date is located after your name on the newsletter address label. Life members are all zeros. Call your president if you have any questions.

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