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Bill McGrath Fan Club

Membership Form

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Bill McGrath Fan Club
 
Initial 12-month membership fee $15.00
Renewal fee $10.00
 
Members Receive:
Membership ID
An 8 x 10 photo of Bill
Membership Certificate (first year only)
Invitation to the annual Anniversay BBQ/Bill's Birthday Party
 
Make check or money order payable to Linda Cepela-Farrand
Questions call:  802-353-0321
 
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Mail form and payment to:
Linda Cepela-Farrand
63 Hitzel Way
Pittsford, Vt 05763
 
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Print (clearly please), fill out and mail (keep top half for contact information)
 
DATE:_________________________________________________________________________
NAME:________________________________________________________________________
ADDRESS:__________________________________________________________
CITY:______________________STATE:_________________ZIP:______________
EMAIL:_____________________________________________________________
PHONE:________________________________DOB:________________________
Comments:_________________________________________________________
___________________________________________________________________
___________________________________________________________________
Please allow 4-6 weeks for your packet
___________________________________________________________________
 
Office Use Only
Membership Number___________________
Payment Received_____________________
Packet Mailed_________________________