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Stowe
Bike Club | | |
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2010
Membership Application | | |
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| | | | | |
| | | _____
Individual $20 ______Family $35 | | |
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| | | Name:
_________________________________________________________ | |
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| | | Address:
_______________________________________________________ | |
| | | | | |
| | | E-mail
Address: __________________________________________________ |
| | | | | |
| | | City:
______________________ State:
____________ Zip: _____________ | |
| | | | | |
| | | Home
Phone: ___________________________
Work Phone: _____________ | |
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| | | | | |
| | | Additional
Family Members: | | |
| | | | | |
| | | Name:
________________________________________________________________________ |
| | | | | |
| | | Name:
________________________________________________________________________ |
| | | | | |
| | | Name:
________________________________________________________________________ |
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| | | | | |
| | | Please
send this application along with check to: | | |
| | | | | |
| | | Stowe Bike Club | | |
| | | c/o Dot Helling | | |
| | | 29 East State Street | | |
| | | Montpelier, VT 05602-3011 | | |
| | | | | |
| | | For more information call: Dot Helling at (802) 279-8199, E-mail: ultradot@myfairpoint.net or visit our web site at Stowetimes.org | | |
| | | visit
our website at Stowetimes.org | | |
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