WMRC Membership Application
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Email *
Membership Year *
Membership Level? *
Status: Check one *
Full Name:  *
If a family membership,
 List Full Names & Dates of Birth 
Mailing Address: *
Must Include Street or PO
Town *
State *
Zip Code *
Phone: *
By checking the "I AGREE" box below, I hereby agree to abide by the By-Laws as well as any rules and procedures that may be implemented during the current membership year by the club. 
A copy of your responses will be emailed to the address you provided.
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