Limeport Athletic Association
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2009 Limeport Athletic Association
Membership Renewal Form
PLEASE PRINT CLEARLY


Name:
Address:
City: State: Zip:
Phone: (        ) Email:*******
Date:
I would like to receive my newsletter by (check one)     ________ Internet      ________ Regular Mail

*Print and fill out form, detach and return with your $10 check made payable to Limeport Athletic Association
Mail to:  LAA, c/o  Jill Burbank, 705 N. Hanover, Pottstown, PA 19464

Cost for renewal is $20 after March 31st

Questions? Contact:
info@limeportaa.com

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