Delaware Singles (40+)

February 2012

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Delaware Singles (40+) Application for Membership

Name:______________________________________________________

Address:____________________________________________________

City/State/Zip:________________________________________________

Telephone__________________________________________________

E-Mail Address:_____________________________________________

Membership Fee: $25 per year with paper copy of the newsletter
                        : $20 per year with e-mail copy of the newsletter

Make checks payable to Delaware Singles (40+) and mail to:

Delaware Singles (40+), P.O. Box 9550, Wilmington, DE 19809 (Print page and mail in.)

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