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Application to Join or Renew Membership to the Wantagh Preservation Society
Please print this application, fill it out, and mail it with payment to the address shown below. Thank you for your support! |
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Name:
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Street:
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City, State, Zip:
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Phone Number:
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Email:
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Status (please check one): ___New ___Renewal |
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Type (please check one): ___Individual $10 ___Family $20 ___Friend $30 ___Patron $50 ___Fellow $100 |
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Wantagh Preservation Society PO Box 132 Wantagh, NY 11793
Revision Date: 2009-11-08 |
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