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Membership

Application for Membership

All memberships are renewable January 1 and due to the treasurer by January 31.

Name*

First Last
Partner’s Name (if joint membership)

First Last
Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Email*
Phone
May the above information be listed in the membership directory?
- Yes
- No
Did you learn about membership through a current SBA member? _______________

If yes, who?________________________
Type of Membership

Make checks payable to:

Smokey Bear Association

Mail payment to:

Smokey Bear Association treasurer

159 MacNeil Road

Pueblo, CO 81001-1921

Membership

Application for Membership

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