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On-line New Member

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2010 SEGC Membership Application

Demographics

Membership dues for 2010 remain at $15 per person or $20 for two or more persons residing in the same household. There is also a $10 initiation fee. Please complete the form below and press Submit. You will be redirected to pay your renewal dues using PayPal. A $2 convenience fee will be included. Membership is for a calendar year, January to December.

Name
Home Address
City
State     Zip  
Email
Telephone
Occupation

Membership Chair

Heather Schlesinger
Membership Coordinator
51 Fair Meadows Way
Dallas GA 30132
membership@greyhoundadoption.org

By clicking Submit, I agree to abide by the Constitution and By-Laws of the Club and to support its activities.