Aarp Membership Application Form

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AARP Chapter # 1276
Membership Application
Single Dues: $8.00 Annually
(Circle One) Family Dues: $16:00 Annually
Full Name(s):____________________________________________________________
________________________________________________________________________
Address: ________________________________________________________________
City, State, Zip: __________________________________________________________
Email: __________________________________________________________________
Home Phone: _____________________________Cell: ___________________________
National AARP Number: ______________________Exp. Date: ___________________
Please print this application and mail with your check made payable to:
AARP Chapter #1276
P.O. Box 1621
Salisbury, MD 21802-1681
You may also come to a meeting and pay in person via exact cash or check (preferred).
For questions, please call Brady Roberts, Membership Chairman, 410-546-5812.

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