Fan Club

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Membership fee is: $15.00 per person or $25.00 per couple per year
*(couples must live together)

To apply for the fan club, fill out this form:

Name:

* required

Address:

* required

City:

* required

Phone:

* required

Date of Birth:

* required

Anniversary

Email:

* required

Today's Date

* required

Enter Comments:

Enter Comments

Or contact Fan Club President, Deb Schiefelbein, via email address: schiefelbein21@yahoo.com

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