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To Become a Member:
- Print out the following form
- Fill it out completely
- Send the completed form along with dues (check or money order) to:
Friends of Science East, Inc.
P.O. Box 552
Shoreham, NY 11786
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Contact Information:
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Name:
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_____________________________________________________ |
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Street:
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_____________________________________________________ |
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City:
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_________________________ State: _____ ZIP: ___________ |
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Phone:
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________________________ Fax: ______________________ |
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Email:
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_____________________________________________________ |
Enroll me as:
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Senior/Student |
$15 |
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Individual |
$25 |
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Family |
$35 |
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Corporation/Institution |
$200 |
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Please contact me regarding:
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additional information on giving |
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volunteering |
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Friends of Science East, Inc. is a not-for-profit,
tax-exempt 501(3)c corporation registered with the State of New York. Your contributions
are tax-deductible to the fullest extent of the law.
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