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 Sierra-Diablo Matchcover Club

Membership Application

Name:_____________________________ Telephone:__________________
E-mail:______________________________________________ (required)
Address:_____________________________________________________
 
The following information is requested so that we have an idea of each member's collecting categories to be included in the our membership listing.
General Collector________(yes)___________(no) Favorite categories...
1.___________________ 2._________________ 3.___________________
4.___________________ 5._________________ 6.___________________
 
NO DUES!
 
Birthdate (month/day):____________________
 
Signature:_____________________________
 
Please send application to: Greg Lund, 7000 Rainswood Ct., Bethesda,MD 20817-2231.....AND WELCOME TO SIERRA-Diablo and a great hobby!