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____________ ________________________________________ __________________ __________________ I was referred by ___________________________ I would like to join at the following level: Regular - $75 Contributing - $175 Sustaining - $300 Patron - $500 Associate
- $45 Student Club - $20 I would also like to be a member of
Please charge my: ________________________________________ Expiration date____________________________ _________________________________________ For more information call the League 24 hour Message Line
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