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First Name: ________________ Middle Initial: ____ Last Name: ___________________ Address: __________________________________ City: ______________ State: ______ Zip Code: ________ E-mail address: _____________________________________ In addition to my membership I am enclosing a donation of:
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Thanks for joining, and now you can look forward to being a part of this exciting and active organization that's working hard to make history live in Delphi Indiana! You will receive quarterly newsletters. |
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