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©Burlingame Music Club 2009-2016

Membership

 

MEMBERSHIP APPLICATION

 

 

Name:_________________________________________________

 

Address:_______________________________________________

 

______________________________________________________

 

Zip:_____________

 

Telephone No: (      )__________________

 

E-mail:________________________________________________

 

 

Annual Dues:  $35.00

 

 

Please make your check payable to:

      Burlingame Music Club

 

 

Mail to:

   The Treasurer

   Burlingame Music Club

   P. O. Box 8

   San Mateo, CA  94401

 

 

Your cancelled check is your receipt.

 
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