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AMI-Racine County Invites You To Become A Member!

Membership Benefits Include:


Membership rates:

__ Individual- $25 __ Family- $40 __ Limited Income- $10
__ Young Families- FREE for YEAR 2000 (Offer good only until December 31, 1999)

Name_____________________________________________

Address__________________________________________

City_____________________________________________

State_____________ Zip____________

Phone______________________

Amount Enclosed $____________

Mail To: AMI-Racine County, 818 Sixth Street, Racine, WI 53403
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Donations:

__ Friend-$25 __ Supporter-$50 __ Benefactor-$100