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Friends of Wilson Island

 

Membership Form

 

Date: ­­   ­­    _____________________

Name:­      ______________________________________

Address:  ______________________________________

                ______________________________________

                ______________________________________

Phone:      ______________________________________

 

            Membership Type:

                                    _____  Family - $20

                                    _____  Single - $15

 

            Note:  Family membership gives two votes.

 

 

 

Instructions:  Please print off the form above, send the filled out form and a check (made out to Friends of Wilson Island) to the following address:

                       

                        Friends Of Wilson Island

                        PO Box 294

                        Missouri Valley, IA  51555






 

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