Application

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The Griswold Family Association
Membership Application
Yes, I would like to join the Griswold Family Association of America. Name(s) ______________________________________________ Address ______________________________________________ ______________________________________________________ City _______________________ State ______ Zip code________ Email address (optional) ________________________________
Please circle your choice of membership & payment:
Single (annual)	$20.00
Family (husband, wife and children under 18 years of age: annual)	$30.00
Patron (one-time or annual)	$50.00
Donor (one-time or annual)	$100.00
Life member (single payment)	$500.00
Benefactor (special donation)	$1000.00
Print & mail this form, with your check (payable to Griswold Family Association), to: Jack Hooten, Registrar/Treasurer Griswold Family Association, Inc. 3822 Bandy Rd SE Roanoke VA 24014-7216

Membership Dues billed annually; first notice in Winter Edition of GFA Bulletin

Copyright & Copy 2008, Griswold Family Association
Last update: 03/05/2008
Send email to: BMNJRyan@aol.com
Please use "Griswold" in Subject Line