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Now you can pay your membership dues on line - visit the Gift Shop Page MEMBERSHIP FORM Name: _________________________________________________________ Address: _________________________________________________________ City/State/Zip: _________________________________________________________ Phone: _________________________________________________________ Email: (optional) _____________________________________________________
Family Membership: Annual - 15.00 Life - 160.00 Business Membership: Annual - 100.00 Non-Profit Organizations: Annual - 25.00 Date: ______________________________________ I wish to pay my membership dues by ** If paying by check/money order, please Print this Form and mail along with your check or money order made payable to Largo Area Historical Society to: Largo
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