Membership Application Form
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Send your application, along with $10 ANNUAL membership fee, to:
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American Friends of the Brunner Cropper Club Secretary/Treasurer Jim Clinton 30970 Sunnyside Ave. Medera, CA 93638 Please make checks payable to: American Friends of the Brunner Cropper Club
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Print this page and cut on the line below.
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American Friends of the Brunner Cropper Club Application for Membership
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Name: _____________________________ Date:___________________
Address: ___________________________ Age (if junior member):_____
City, State Zip: ______________________ Phone:__________________
Colors Raised:_______________________________________________ ___________________________________________________________
Other Club Affiliations:_________________________________________ ___________________________________________________________
E-Mail address: _________________ Web Page URL:_______________
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