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Print this page, fill in the requested information, and mail with a $25 check to:
Rhode Island Civil War Round Table
P.O. Box 40712
Providence, Rhode Island 02940
To join the RICWRT, please fill in the application form below and send it to the address
above, along with a check for $25 (made out to RICWRT) to cover a one-time-only
initiation fee of $10 and $15 annual dues.
MEMBERSHIP APPLICATION
Name _____________________________________________________________
Address ___________________________________________________________
___________________________________________________________
Telephone Number ___________________________________________________
E-mail Address ______________________________________________________
Other Civil War organizations you are a member of ___________________________
_____________________________________________________________
_____________________________________________________________
Signed __________________________________ Date __________________
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