
Membership Application Form
Date: ___________________
Name: _________________________________________________
Address: ______________________________________________
______________________________________________________
City: _________________________ State: ______ Zip: ________
Email: ___________________________________
Confirm Email: _____________________________
(acknowledgement and update of your membership application
done via Email)
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Please make check or money order of $15.00 US Dollars
(non-refundable) payable to Priscilla Colon
and mail together with this "Membership Application Form" to:
Priscilla Colon
Urb. El Plantio
Calle Jagüey C-15-C
Toa Baja, PR 00949
Thank You!
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We reserve the right to denied or cancel (at
any time)
any membership to anyone that has violated
our terms of use or copyrights. |