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MEMBERSHIP APPLICATION and DONATION FORM Please print screen and mail to: H. Reid Bader Treasurer, NYSCBS 207 Seneca Creek Rd Membership Fees: Individual Membership - $10.00 annually Family Membership - $10 plus $1 per additional family member annually Individual Lifetime Membership - $150.00 Family Lifetime Membership - $200.00 New York State Covered Bridge Society Membership Application NAME(S): ___________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ADDRESS: ___________________________________________________________ ___________________________________________________________ City / State / Zip: ______________________________________________________ Or Country Postal Code: ________________________________________________
Total Fee enclosed: $
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