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APPLICATION FOR MEMBERSHIP, DUES and/or ADDRESS CHANGE * *
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- ADDITIONAL INFORMATION -THE HISTORICAL PRESERVATION SOCIETY OF THE UPPER KEYS, INC. P.O. Box 2200 Key Largo, FL 33037 (305) 852-1620 Name ______________________________________________ Phone ____________________ Winter address: month ( ) Summer address: month ( ) Street _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Street _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ City _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ State _ _ _ _ _ _ _ _ _ _ _ ZIP _ _ _ _ _ _ _ _ _ State _ _ _ _ _ _ _ _ _ ZIP _ _ _ _ _ _ _ _ _ _ _ Email address: ______________________________________________ Annual Dues: Family $20 Supporting $25 Contributing $30 Patron $50 Life $300.00 Please mail with your tax deductible check to H.P.S.U.K. at the above address. 1) Supporting members are
not
expected to volunteer for committees, etc.
2) Dues are due January 1st of
each year.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - USE THE BACK ARROW OR -
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