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Ladies Auxiliary Application

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Membership Fees $ 15.00

Name

Address

City

State

Zip

Telephone (      )

I hereby understand that to be a member in good standing, I must be a member of the SSHBEA with all fees duly paid in full at the time of application.

Dues Paid

Date

Signature

Print, complete, and mail (with appropriate fees) to the following:

SSHBEA Ladies Auxiliary

P.O. Box 1013

Shelbyville, TN 37162