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Registration:: CURRENT & CURRENT DISTANCE Members 1-8 People (Before April 2nd)

NOTICE: These are the TOTAL amounts (including fees) for up to EIGHT people on your membership BEFORE APRIL 2ND.

DO NOT USE THIS FORM IF YOU ARE NOT PAYING WITH PAYPAL. Forms will be discarded.

TYPEOne SeniorTwo Seniors1 Member2-3 Members4-5 Members6-8 MembersCurrent Distance
DUES$423$522$573$672$703$751$360
HANDLING
FEES
$18$23$25$29$31$33$16
GRAND
TOTAL
$441$545$588$691$734$784$376
 

Total Number of people in your family, including you
Last name of family
xxx-xxx-xxxx
XXX
INCLUDE STREET ADDRESS ONLY
INCLUDE CITY, STATE, ZIP
xxx@xxx.xxx

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