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Mail to: Heritage Quest Research Library
909 Main Street, Suite 5
Sumner, WA 98390-1424

Membership Application

Name:
Address:
City, State, and Zip Code:
E-mail Address: Phone Number:

Membership in HRQL is $30 per year for a single membership and $35 per year for a family.

Your membership year starts on the day you join and ends one year later.

checkbox   Yearly Dues:  Individual cb_1 $30.00  Family cb_1 $35.00 (Must reside at the same address.)

Please include a check, money order or credit card payment information with this form.

Credit Card Payments Only
Cardholder Name:
(print exactly as it appears on the card)
Billing Address:
City, State, and Zip Code:
Credit Card Number: Type of Card (circle one): VISA MasterCard
Both required: Daytime Phone # and Zip Code: Expiration Date:
Signature:
Site Map | © 2001 - 2008 Heritage Quest Research Library, 909 Main St. #5, Sumner, WA 98390  •  253-863-1806
last modified:  15 Sep 2008 14:54 PDT

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