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Membership
MEMBERSHIP APPLICATION
Name:_________________________________________________
Address:_______________________________________________
______________________________________________________
Zip:_____________
Telephone No: ( )__________________
E-mail:________________________________________________
Annual Dues: $30.00
Please make your check payable to: Burlingame Music Club
Mail to: The Treasurer Burlingame Music Club P. O. Box 1204 Belmont, CA 94002-1204
Your cancelled check is your receipt.
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