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2009/2010 Membership Form

Please print this form, complete it and mail (or bring to our meeting) with your $25 membership check to:

Granby Newcomers Club
c/o Cori Griswold
9 Pheasant Run
North Granby, CT 06060

Make check payable to "Granby Newcomers Club". Thank you.

Name
Address
City
State
Zip
Phone
Email
Hobbies
Job/Employer
Husband's Name
Childrens' Names and ages.