Mill Valley Seniors for Peace

Application for Membership

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  Name        _____________________________________

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  Address     _____________________________________

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                    _____________________________________

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  Email         _____________________________________

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  Phone       ______________________________________

 

  Please print, complete and mail to:

   Mill Valley Seniors for Peace

   40 Camino Alto, #11103

       Mill Valley, CA 94941

 

Please include a check for your chosen membership level made out to Mill Valley Seniors for Peace

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