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Print out form and mail to address below Pa. Keysteiner Membership Form
Dues 1 year $10.00 or $25.00 for 3 yearsPlease make check payable to Pennsylvania Keysteiners and mail to:
Carolyn Estep113 Sunset Drive New Cumberland PA 17070-3060 717-938-1958
Please fill out form below so we can update the information in the club’s database.
S.C.I. #____________________
Name:________________________________________________________________________
Significant Other:_____________________________________________________________
Address:______________________________________________________________________ _____________________________________________________________________________
HomePhone:______________________________WorkPhone:___________________________
Email Address:_______________________________________________
Steins of your interest___________________________________________________________ |