Membership Form

Please fill out this form, print it and mail it with your check to:
SLO Soles
PO Box 553
Templeton, CA 93465

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Primary / Individual Member:

Name
Street / PO Box
City, State. Zip
Home Phone
Work Phone
Cell Phone
E-Mail

Family Member 2:

Name
Work Phone
Cell Phone
E-Mail

Family Member 3:

Name
Work Phone
Cell Phone
E-Mail

Family Member 4:

Name
Work Phone
Cell Phone
E-Mail

Please make checks payable to: SLO SOLES
Annual Dues (July 1 to June 30) are $12.00 for individual membership, $15.00 for all family members living at the same address.

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Page Last Updated 11/10/2003