International Order of the Blue Gavel Auxiliary

WEB MASTER REQUIRED - ALL INTERESTED PARTIES PLEASE CONTACT THE PRESIDENT

              

 

                                                          

         

    

    

                                    

 

IOBGA Membership Dues Remittance Form (TO PRINT: highlight the form and then print 'selection'

Please complete the following information and mail this form and the dues collected to:

(Please make checks payable to IOBGA)

Richard Hardy

IOBGA International Treasurer 2008

District Treasurer: Phone/E-mail:
District President: Phone/E-mail:
District #: Date: Check #: Amount $

MEMBER’S NAME

SPOUSE

STREET

STATE

ZIP

TELEPHONE

DUES

YACHT CLUB
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        Last modified: September 30, 2008

         

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