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DUES FORM
____ NEW MEMBER ____CONTINUING MEMBER NAME(S): ______________________________________ ADDRESS: _____________________________________ _______________________________________________ ______________________________________________ TELEPHONE NUMBER:_________________________ EMAIL ADDRESS_______________________ DUES FOR THE ACADEMIC YEAR (2013-2014) : $10.00 PER PERSON. PAYMENT ENCLOSED -------------------- WRITE CHECK PAYABLE TO EMERITUS ASSEMBLY, AAUP AND MAIL TO JERRY LEIBOWITZ, TREASURER, 28 WILLOWBROOK ROAD, STORRS, CT 06268 |
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RESERVATIOM FORM
TUESDAY, APRIL 15, 2014 THE UNIVERSITY OF SAINT JOSEPH ART GALLERY WEST HARTFORD, CT NO.__________ LUNCH AT THE UNIVERSITY CAFETERIA IS SELF PAY TUESDAY, MAY 13, 2014 THE WEBB-DEAN-STEVENS MUSEUM WETHERSFEILD, CT ($10.00 PER PERSON) LUNCH AT A LOCAL RESTAURAT IS SELF PAY NO. _________ Please reserve by May 6, 2014 for the above meeting and include your payments by check.. NAME(S): __________________________________________ ADDRESS: _________________________________________ ___________________________________________________ ___________________________________________________ TELEPHONE NUMBER:_______________________ EMAIL ADDRESS:____________________________ WRITE CHECK PAYABLE TO EMERITUS ASSEMBLY, AAUP AND MAIL TO JERRY LEIBOWITZ, TREASURER, 28 WILLOWBROOK ROAD, STORRS, CT 06268 |
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