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Patron Membership Application
Contact Information
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Contact Information
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One Time
Recurring
Name
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First Name
Last Name
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One Time
Recurring
Address
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Address Line 1
Address Line 2
City
State
Zip
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One Time
Recurring
Email
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$
One Time
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Phone
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$
One Time
Recurring
Membership Categories
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Membership Categories
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One Time
Recurring
Individual 1 year Patron Membership
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$
$
x $25.00
One Time
Recurring
Family 1 year Patron Membership
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$
$
x $30.00
One Time
Recurring
NARM Individual 1 year Patron Membership
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$
$
x $100.00
One Time
Recurring
Please Contact me with volunteer opportunities
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Yes
No
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One Time
Recurring
Yes, I would like to cover the 3% processing fee