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Please print this form out on your printer and mail it to the Secretary/Band Distributor. Club Patch Patches are $5.00 each. Can be purchased and picked up at the shows. Or email Mark Newby to buy and have shipped with a shipping fee. ____ = Total Patches  Club Hat Hats are $10.00 each. Can be purchased and picked up at the shows. Or email Mark Newby to buy and have shipped with a shipping fee. ____ = Total Patches  *Don't forget to pay your yearly dues! Name ______________________________________________________________ Address _____________________________________________________________ City ____________________________________State________ Zip_____________ Phone _____________________________E-mail ____________________________ |
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