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Names as they should appear
on your membership cards
______________________________________________________
Name
_____________________________________________________
Address
_____________________________________________________
City
State
Zip
Daytime phone_______________________
Evening phone_______________________
Email address________________________
This membership is ð New
ð
Renewal
Payment information
ð
Cash ð
American Express
ð
Visa ð
Mastercard
ð
Check (Payable to Custer Battlefield Museum
Credit card number
___________________________________
Expiration date
______________________________________
Signature __________________________________________
Double the
size of your gift by filling out and sending in your company’s matching gift
form with your payment.
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