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Midwest Fruit Explorers membership application form
Name: __________________________________________________
(please print)
Address: __________________________________________________
__________________________________________________
Telephone: __________________________________________________
e-mail address (optional) ___________________________________
Where did you first
hear of us? (optional) ___________________________________
Send: ( ) $10.00 for 1 year
( ) $20.00 for 2 years
application from web
Make checks payable to: Midwest Fruit Explorers
Please fill out and return this application with payment to:
MidFEx Membership
PO Box 93
Markham, IL 60428-0093
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