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REGIONAL FLEMISH GIANTS RBA APPLICATION FOR MEMBERSHIP |
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1 Year Membership ___Single or Youth $7.00 ____ Husband/ Wife(2 person House)$10.00 _____ Family $10 (+$2.00 ea youth) 3 Year Membership ___Single or Youth; $18.00 ____ Husband/ Wife(2 person House) $10.00 _____ Family $25 (+$5.00 ea youth) |
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Name _____________________________________________ Phone#:_____________ Address:___________________________________________________________________ City:___________________________________State:_________________Zip:___________ Email address:______________________________________________________________ Colors Raised:______________________________________________________________ Referred By:_______________________________________________________________ |
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Mail Application and Check to : Will Sutton RFGRBA - President 9055 SW Hwy 82 El Dorado Springs, MO |
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Date of Application ________________ | |||||||||||