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Devington Communities Association Membership Form
NAME/ORGANIZATION
*
MEMBERSHIP TYPE
*
Individual
($10/yr Donation)
Organization/Church ($10/yr Donation)
Business ($20/yr Donation)
ADDRESS
*
TELEPHONE
*
EMAIL
*
FAX
YOUR INTERESTS
*
COMMITTEES
Community Day
Scholarship
Publicity
Newsletter
*
- Completion of these fields is required.
Your donation are tax deductable.
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Created on ... December 30, 2005
