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HOUSATONIC CAMERA CLUB

                                  Membership Enrollment   2008-2009

I wish to enroll as a member for one year.  Attached is the membership fee of $25.00, and $10.00 for each additional immediate family member.

Please hand or mail this form to the Treasurer, Jen Abbott 213 Guilder Hollow Rd.
Sheffield, MA 01257
JenAbbott@aol.com
860-309-4376. 
For additional information, call Jen Abbott at 860-309-4376, or Rita Mathews at (413) 229-7738

PLEASE PRINT ONLY … AND CLEARLY!

NAME(S):  _____________________________________________________________

ADDRESS(ES):  _________________________________________________________

                             _________________________________________________________

PHONE: ________________ FAX: ________________ E-MAIL: ________________

_________  Check here if continued on back side.

WE WILL SEND YOU OUR MONTHLY NEWSLETTER, SCHEDULES, AND CLUB INFORMATION.

===============================================================

HOUSATONIC CAMERA CLUB

                                  Membership Enrollment   2008-2009

I wish to enroll as a member for one year.  Attached is the membership fee of $25.00, and $10.00 for each additional immediate family member.

Please hand or mail this form to the Treasurer, Jen Abbott 213 Guilder Hollow Rd.
Sheffield, MA 01257
JenAbbott@aol.com
860-309-4376. 
For additional information, call Jen Abbott at 860-309-4376, or Rita Mathews at (413) 229-7738

PLEASE PRINT ONLY … AND CLEARLY!

NAME(S):  _____________________________________________________________

ADDRESS(ES):  _________________________________________________________

                             _________________________________________________________

PHONE: ________________ FAX: ________________ E-MAIL: ________________

_________  Check here if continued on back side.

WE WILL SEND YOU OUR MONTHLY NEWSLETTER, SCHEDULES, AND CLUB INFORMATION.

===============================================================