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Early Bird Membership Drive and Big Prize Raffle

Sign me up for membership for 2003 and include me in the raffle $
[Dues are $20.00 for Full Member and $10.00 Auxiliary, so $40,00 or $30.00 respectively]

Only sign me up for 2003 membership $
[Dues are $20.00 for Full Member and $10.00 Auxiliary, so $20,00 and $10.00 respectively]

I am a multi-year member and paid up thru or past, 2003, but want to

participate in the raffle ($20.00) $

I want to purchase ____ extra tickets at $10.00 each $

Total remitted $

I am already a multi-year member past year 2002 and do not want to participate in the raffle .

Please fill out the following and return as we are trying to expand our database to allow printing Anniversaries and Birthdays in The Sentinel along with other items of general interest.

Name Birth date

(mm/dd only)
Spouse Name Birth date
(mm/dd only)
Anniversary Date

Hobbies

Passions

Signature Date:

Put your check in the mail right now, made out to “AZ Chapter TROA”, annotated to show “For 2003 Dues and Raffle”, and ship the whole thing off to Bill Johnson, 13410 N. 12^th Place, Phoenix, AZ 85022-4944. Profit (the other half) will go for Chapter administration and the Scholarship fund.

Well… What are you waiting for??