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Social Member

Application & Invoice

ٱPlease add my name to the 2007-2008 AVH Social Member Roster

ٱ Sorry, I am not interested in becoming a social member at this time.

_________________________________________________________________________________________

Member Name(s) (include spouse):___________________________________________________________________________________

Address: (if different than, or not listed above) ____________________________________________________________________________

______________________________________________________________________________________________________________

Phone: ___________________________________________ (HOME) ________________________________________________ (CELL)

Email: __________________________________________________________________________________________________________

---- INFORMATION WILL BE KEPT CONFIDENTIAL----

NUMBER

MEMBER DUES

AMOUNT

ACCT BALANCE

2007 SOCIAL MEMBERSHIP

(INDIVIDUAL OR COUPLE)

$100.00

PLEASE REMIT PAYMENT BY NOV 25th TO:

Annapolis Valley Hunt

C/O Judy Johnston

2572 S. Rawdon Rd.

RR #1, Mt. Uniacke

N.S. B0N 1Z0

THANK YOU FOR YOUR SUPPORT!