This page last revised 12/15/00
Golden Link Membership Application
MEMBERSHIP CATEGORIES & DUES (Circle one):
TERM |
SINGLE |
FAMILY |
1 year |
$15 |
$20 |
| 2 years | $28 | $38 |
|---|---|---|
| 3 years | $42 | $57 |
| 5 years | $70 | $95 |
| 10 years | $140 | $190 |
PLEASE CIRCLE ONE:
New Member Renewing Member Used To Be A Member
Extra Donation $__________
Total Enclosed With Application $___________
Name_______________________________________
Address______________________________________
City__________________________
State_________________________
ZIP__________________________
Phone Number__________________
E-Mail Address_________________________________
PRINT THIS PAGE, FILL OUT, AND SEND TO: Golden Link Membership c/o Jantina Cornelison, 1019 Penfield Road, Rochester, NY 14625.
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