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HFA Membership Application - USA

Use the application form below to become a member of the Harmer Family Association. Print out a copy, fill it in and mail it with the annual membership fee to the address given.

2002 Membership Renewal

Name______________________________________________________________

Address____________________________________________________________

City______________________________State_________________ZIP__________

Email address________________________________________________________

Membership Type: _____Standard, $10.00 _____Research Supporter, $20.00

Please mail your check to:

Harmer Family Association
3884 Douglas Mtn. Drive
Golden, CO 80403



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