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| Date: | |||||
| Name(s): | |||||
| Address: | |||||
| City: | State: | ZIP | |||
| Telephone: | |||||
| Email: | PLEASE PRINT | ||||
| circle one: | • New Member | • Renewal Membership | |||
Please circle membership desired: | |||||
| Single | Family | ||||
| 1 year | $ 15 | $ 25 | |||
| 2 years | $ 25 | $ 40 | |||
| 5 years | $ 60 | $100 | |||
Make check payable to Folk Music Society of Huntington, Inc. — and Mail to:Folk Music Society of Huntington, Inc.
P.O. Box 290
Huntington Station, NY 11746