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Membership Form
Print this form and send it to the address below.


Name __________________________________________
Spouse __________________________________________
Street Address __________________________________________
City __________________________________________
State ____    Zip ____________


____ Single Membership(s)

$15.00

____ Couple Membership

$25.00

____ Young Adults (12-18)

$ 2.00



Make payments to Albert City Threshermen.

Albert City Threshermen & Collectors Association
PO Box 333
Albert City, IA 50510
712-843-2076