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The Anderson Noon Exchange Club
invites you to consider membership in Exchange!

Our club dues are $35 per quarter
and $10 for lunch, when you are able to come.

We realize that your schedule may require your attention at work or with family and you are not
penalized for not being able to come to a club meeting.

EXCHANGE MEMBERSHIP CERTIFICATION

Name(First)                                                        (M.I.)                Last                                                           M         F

Spouse

Address

City                                                                                                   Zip Code

Home Phone                                                      Work Phone

E-Mail

Employed at                                                                           Job Title

Birthdate:

Sponsor                                                                        Sponsor’s Club