Champlain Kayak Club

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CKC MEMBERSHIP APPLICATION


Name(s):	__________________________________________
Address:	__________________________________________
City, State, Zip:	__________________________________________
Telephone:	( ____ ) ___________________________________
e-mail:	__________________________________________

	$10 Individual Membership
	$15 Household Membership
Mail Membership application and dues (payable to Champlain Kayak Club) to:
	JoAnne Kenyon 899 Frosty Lane Bridport, VT 05734 802-388-0254 or 802-758-3026

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