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| Please send an email when you make a donation Cut & Paste the application in your email Keep Seminole Beautiful Membership Application
Name ________________________
Email ________________________
Phone ________________________
Street ________________________
City, Zip ______________________
_____________________
Membership Dues
[ ] Student & Retired Annual $ 10
[ ] Individual Annual $ 25
[ ] Family Annual $ 50
[ ] Family Patron Annual $ 5,000
[ ] Business Annual $ 100 [ ] Business Friend $500
[ ] Corporate Sponsor Annual $ 1,000
[ ] Corporate Partner Annual $ 2,500
[ ] Corporate Patron Annual $ 5,000 [ ] Homeowner Associations Annual $ 100
[ ] Non-Profit Organizations $ ________ [ ] Governmental Partner $ __________
[ ] Chamber of Commerce $ __________
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