Check one: _____ new member _____ renewing member
NAME: _______________________________________________________________________
TELEPHONE: work _______________________ home _____________________
ADDRESS: _____________________________________________________________________
______________________________________________________________________________
CITY: _____________________________________ STATE: _____ ZIP CODE: __________
e-mail address ____________________________________
Please select your membership category:
___ Individual* $20 ___ Family* $25 ____ Organizational $50
___ Individual** Life $200 ___ Corporate Friend $500 ___ Corporate Sponsor $1000
Method of payment: ___ check ___ cash
CASH accepted only when paid in person. Please do not send cash through the mail.
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A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.
* New and renewing Individual and Family memberships include a set of Battle of Olustee post cards.
** Life Membership includes a copy of the Battle of Olustee DVD.
Battle of Olustee WWW
site
http://battleofolustee.org/