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Falls
of the Ohio Membership Application
Membership
level
___ PATRON ($200)
___ SPONSOR ($100)
___ ASSOCIATE ($50)
___ FRIEND ($25)
____________________________________
Name as it should
appear on membership card |
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|
____________________________________
Address |
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|
____________________________________
City |
_______________
State |
_______________
Zip |
____________________________________
Phone |
_______________
Date |
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Please make check
payable to the The Falls of the Ohio Foundation, Inc., or you may charge
as follows:
____ Visa ____ MasterCard
____________________________________
Card # |
_______________
Expiration Date |
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Mail
this form with payment to:
The Falls of the Ohio Foundation, Inc.
201 W. Riverside Dr.
Clarksville, IN 47129
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