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Membership Renewal Application | ![]() |
PLEASE RENEW MY/OUR MSCSC MEMBERSHIP FOR 2008:
PLEASE PRINT
Address:__________________________________________________
City:_________________________ State:_________Zip:___________+______
Telephone - Home_(____)________________ Work_(____)______________
Cell_(____)______________ Fax_(____)_______________
E-Mail:________________________ Birth date: (his) _____________(month/day only)
Birth date: (hers)_____________(month/day only)
CHECK ONE:
_____$20 Active Single _____$15 Associate Single
_____$30 Active Couple _____$25 Associate Couple
_____Life Member _____Honorary Member
Please return this form with your check to the MSCSC Treasurer.