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Fill
out the form below then click the "PRINT" button to print on your printer and mail it in.
Your privacy is important to us, we will only contact you by the method you choose. Thank you for joining. |
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Please contact me by:
Mail
Phone
Email
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Don't contact me, I'll contact you.
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Name:
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*Required
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Address:
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City:
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State:
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Zip Code:
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Phone 1:
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Phone 2:
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Email:
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$50.00 Single
$75.00 Joint
$100 Champion
$500 Angle
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Make check payable to: Stormy Ray Cardholders' Foundation Mail to: SRCF P.O. Box 987, Ontario, OR 97914 |
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