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Membership Application Form
Send your application, along with $20 ANNUAL membership fee, to:
Voorburg Shield Cropper Club
Treasurer - Johnnie Johnson
20
8 Sandwood Cir.
Park River, ND 58270
Phone: 701-284-6079 email:
Voorburg@polarcomm.com
Print this page and cut on the line below.
The Voorburg Shield Cropper Club
Application for Membership
Name: _____________________________ Date:___________________

Address: ___________________________ Age (if junior member):_____

City, State Zip: ______________________ Phone:__________________

Colors Raised:_______________________________________________
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Other Club Affiliations:_________________________________________
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E-Mail address: _________________ Web Page URL:_______________
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