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VIRGINIA JAYCEES LIFE MEMBER ASSOCIATION

MEMBERSHIP APPLICATION

COMPLETE APPLICATIONS WITH FEE SHOULD BE MAILED TO:

Gerry Machek

11301 Patrick Henry Lane

Fredericksburg, VA  22407

Phone 540-785-2096

gmachek@earthlink.net

FORMS

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Life_Member_NumberApplication08.pdf

Life_Member_NumberApplication08.doc