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SUB SIG MEMBERSHIP

Please print this out and send with check made payable to Sub Sig, Inc. to:

Mark Levine

42 Pine St.

NAME: _________________________________________________________________________________________

E-MAIL ADDRESS: _____________________________________________ or SEND AN E-MAIL TO: subsigtrips@yahoo.com

IF YOU ARE NEW, HOW DID YOU HEAR ABOUT SUBSIG? ( ) FRIENDS ( ) WWW.SUBSIG.ORG ( ) DAY TRIP

( ) SUBSIG BUSINESS CARD ( ) SUBSIG YAHOO ( ) AMC, AYH, ETC. ( ) GO NEW ENGLAND ( ) OTHER

ADDRESS: ______________________________________________________________________________________

CITY:___________________________ STATE:__________________ ZIP: __________________________________

TELEPHONE NUMBER: ____________________________________________________________________________

( ) DO NOT POST MY PHONE NUMBER

( ) RENEWAL ($20)

( ) NEW MEMBER ($20)

( ) TWO MEMBERS, ONE ADDRESS ($35) SECOND NAME___________________________

Please note: annual memberships expire each October. Prior to October, renewals count toward the current membership year, which expires in October. New memberships (only new members -- not members rejoining) started in July or later will continue through October of the following. E-bulletins will be sent to all members unless there is a hardship exception granted.

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SCHOOLHOUSE MEMBERSHIP

Please print this out and send with check made payable to the Schoolhouse Treasurer:

Mira Shapiro, 33 Russell St., Brookline, MA 02446; 617-738-0431

Name: ___________________________________ c Annual Membership $ 25

E-Mail: __________________________________________________________________

Street: __________________________________ c Sustaining Membership $ 225

(life-time, per husband/wife couple)

City/State/Zip: _____________________________________________________________

Telephone: _____________________________________

 

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