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'2008'
MEMBERSHIP DRIVE!
Print and complete the following form
and send it along with your check to::
Dennis Hamblin,
12104 Cedar,
Overland Park, KS 66209
Dues are $20.00 per family and are due by September
of each year.
Make Check Payable To: The Ohio State Alumni Club of Greater Kansas City
In addition, include a little extra in your check and help the
scholarship fund.
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PHONE
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EMAIL
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| O OSU
ALUMNI
O FRIEND OF THE UNIVERSITY |
DEGREE
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ALL MEMBERSHIPS INCLUDE TWO
NAME TAGS - LIST YOUR OHIO HOMETOWN IF APPLICABLE
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| NAME
TAG ONE |
NAME
TAG TWO
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_____________________________________________________
NAME
HOMETOWN/ST
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_____________________________________________________
NAME
HOMETOWN/ST
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TELL
US A LITTLE ABOUT YOURSELF:
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| Alumni Dues |
$ |
20.00 |
| Scholarship Fund Donation
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$ |
________ |
| TOTAL |
$ |
________ |
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