MEMBERSHIP FORM
Please print out this form and send (with check or money order),
payable to:
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Contact Name:
Mail Address:
Day Phones:
Night Phones:
Current eMail:
Keep my name private. Do not include my name in the TIMOTCA's Peace Registry.
I decline member benefits as a GIFT GIVER.
Make payment with PayPal! Make payment with PayPal! Make payment with PayPal! Other Amount:
I would like a fully tax-deductable receipt for my contribution.
Comments & additional info:
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