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with payment.
APPLICATION FOR MEMBERSHIP IN AKTA
NAME________________________________________________________
ADDRESS_____________________________________________________
_______________________________________________________________
CITY______________________STATE_____________ZIP_____________
PHONE--------------------------------------------------------------------------------------------
PLEASE CHECK
APPROPRIATE ITEM
{ }Membership is free ($10.00
donation appreciated)
{ }Additional family member
{ }Extra Decals - $2.00 US Each,
Quantity_________
PLEASE MAKE CHECKS PAYABLE TO
BOBBY BRANTON
4976 SEE WEE RD.
AWENDAW, S.C. 29429
Telephone 843-928-3624