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To become a member, print this form, fill it out and send with your check for $12 to: Center at the Park, 720 Sprague, Walla Walla, WA 99362

Membership Application

Annual Regular Membership $12.00
Voluntary donation for newsletter $___________
(Renewals, please attach your old address label)

Name (please print)_______________________________

Telephone Number_______________________________

Street Address__________________________________

Apartment Number_______________________________

City____________________State___________________

Zip Code______________________________________

Make check to: Center at the Park