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DUES APPLICATION
PRINT THIS PAGE AND MAIL IT TO THE CHAPTER OFFICE ALONG WITH YOUR CHECK.

Chapter #88
215 Regent  Drive
Lido Beach, New York 11561


I wish to join the Long Island Chapter # 88 of the NAWCC. Enclosed is my check for $12.00 for dues, for the period ending June 30, 2009. Please make the check payable to NAWCC Long Island Chapter# 88.

Name__________________________

Address_______________________________________________

Town________________________________State___________ Zip_______________

My Membership number is:_______________________