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3. New Life Member (Individual)
$
1,000.00
Member Name
*
Graduation Year
*
Spouse
Associate/Alumni (Class of)
Address
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*
3. New Life Member (Individual) quantity
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2. Associate Membership
$
70.00
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4. New Life Member (Couple)
$
1,500.00
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5. Annual Dues Local/Life
$
45.00
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Annual R.W.E. Jones Scholarship Breakfast
$
50.00
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