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Membership Application

Please complete the form below and submit with credit card payment. Annual membership dues are $75.

Or, you may use the PDF version and remit with a check for $75 to:
Christ Child Society of Northern Michigan, P.O. Box 132, Harbor Springs, MI  49740

Contact Information
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First Name
Last Name

First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code


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