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Select " FILE/PRINT" from your browser, cut out the Membership form, fill out the information and mail off 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