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REGISTRATION::: CURRENT, NEW, DISTANCE 1-8 MEMBERS (April)

NOTICE: These are the TOTAL amounts (including fees) for up to EIGHT people on your membership APRIL 2ND – MAY 1ST.

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

TYPEOne Senior (55)Two Seniors (55)1 Member2-3 Members4-5 Members6-8 MembersCurrent Distance1-2 NEW Members3-5 NEW Members6-8 NEW MembersDISTANCE NEW Members

DUES

$428$527$568$667$708$756$340$586$624$659$551

HANDLING
FEES

$19$24$26$30$32$34$16$26$28$29$25

GRAND
TOTAL

$447$551$594$697$740$790$356$612$652$688$576
 

New Carrollton Pool Registration Form

Total Number of people in your family, including you
Select your type of Membership, CURRENT or DISTANCE or NEW
Last name of family
xxx-xxx-xxxx
XXX
Address
State (2 characters)
xxx@xxx.xxx
City
Zip
FOR YEAR: CLICK ON THE MONTH TWICE, GO TO YEAR FIRST, THEN MONTH AND DAY
Relationship to you
Relationship to you
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Relationship to you

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