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MEMBERSHIP NUMBER________________
Optional 1 Year Regular Membership $48.00
Name: Address: City: State: Zip: Daytime Phone: Email: Check here if you want to be notified by email for the next club car No P.O. Boxes ...Thank You
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Credit Card
Visa MasterCard Credit Card # Expiration / Signature:___________________________ Billing Address must be the same as the Shipping Address.