SSHBEA Youth Council Page
Ladies Auxiliary Application
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copyright SSHBEA
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: