Binghamton PCC Membership Form

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Membership Benefits include:

Cost: $20 per person a year

Email *

Date *

YYYY

Phone number *

How many memberships are you purchasing? *

1 ($20)

2 ($40)

3 ($60)

4 ($80)

5 ($100)

First and Last Name of Members *

Payment Method *

In person at the Polish Community Center of Binghamton (347 Prospect Street, Binghamton NY, 13905)

Venmo - pccbing@gmail.com (QR Code available on Donate page of the website)

By mail with attached check to our PCC address (see above)

A copy of your responses will be emailed to the address you provided.

Submit

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