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Membership Registration Form

Package Name	Amount	Quantity	Subtotal

Individual Membership	$25.00		$0.00



Family Membership	$50.00		$0.00



Business Membership	$100.00		$0.00



Corporate Membership	$250.00		$0.00



Annual Meeting and Dinner - Per Person	$50.00		$0.00

General Fund Donation Amount:

I would like my membership dues to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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Please confirm recurring donation:

Total:

$0.00

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	Title	Owner	Category	Modified Date	Size
	Turkey Order Form	Kelly Barfield		11/20/2013	186.28 KB	Download

St. Helena Ag Boosters
Post Office Box 848
St. Helena, CA 94574
501(c)3 Non Profit Corporation Tax Id# 68-0464225