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    • Home
    • How To Reach Us
    • Membership Application
    • Important Notices
    • Events
    • Board of Officers
    • Pictures
  • Home
  • How To Reach Us
  • Membership Application
  • Important Notices
  • Events
  • Board of Officers
  • Pictures

Welcome To The Arizona 10-13 Association

Welcome To The Arizona 10-13 AssociationWelcome To The Arizona 10-13 AssociationWelcome To The Arizona 10-13 Association

Membership Application

                                                                                      ARIZONA 10-13 MEMBERSHIP/RENEWAL APPLICATION
                                                                                                  01-01-2022 through 12-31-2022


PLEASE COMPLETE ALL INFORMATION (HOME ADDRESS, E-MAIL, PHONE NUMBERS, ETC.) THIS IS USED TO UPDATE OUR FILES  AND ALLOWS FOR BETTER COMMUNICATION.  THANK YOU! ! !


NAME ________________________________________________________________
ADDRESS _______________________________________  APT# __________________
CITY ___________________________  STATE __________  ZIP _________________
HOME PHONE ____________________________________
FAX ____________________________________________
CELL ___________________________________________     
E-MAIL _________________________________________
DATE OF BIRTH ___________________________________
DATE APPOINTED ________________RETIRED ____________
SPOUSE’S NAME ___________________________________ 

CELL ____________________________________________
E-MAIL ___________________________________________
COMMANDS (DATES IF POSSIBLE PLEASE): _______________________________________________________


MEMBERSHIP DUES ARE  
$25.00  CHECKS SHOULD BE MADE OUT TO: ARIZONA 10-13  ASSOCIATION. CASH AND CHECKS ARE ACCEPTED AT THE MEETING. OTHERWISE, PLEASE MAIL TO:   

(NOTE NEW ADDRESS) :         

ARIZONA 10-13 ASSOCIATION
16127 E Ocotillo Drive                  

Fountain Hills, AZ 85268-4947
ALL DUES PAYMENTS MUST HAVE APPLICATION ATTACHED! NO EXCEPTIONS PLEASE !

Copyright © 2018 The Arizona 10-13 Association - All Rights Reserved.

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