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GLAC Membership Form
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Full Name
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Type your first and last name
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Address (Street name/number)
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Address (Street name/number)
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City
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Your answer
State
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Your answer
Zip
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Home Phone
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Cell Phone
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email
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Membership Type
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Family membership (2 adults & all kids under 18) -- $200 / Family
Extended Family membership (Family + Kids + Parents + In Laws) -- $250 / Family
Single Adult / Senior Citizen (GC) -- $100 / person
Full Time Student (non-working) -- $ 50 / Person
Visiting Parent (6mo visa) -- Yearly payment of $ 50 / parent
Rasika Shiromani - GLAC Benefactor (Family + all unmarried kids + parents + inlaws) -- $2500 / Once Lifetime
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