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Please Join Brookline PAX
or Renew Your Membership Today!

Please make your dues check payable to Brookline PAX. Fill out, print and return this form and your dues to:

Gary Jones, Treasurer
Brookline PAX
P.O. Box 470525
Brookline, MA 02447-0525

Thank you!

Yes, I'd like to join Brookline PAX    Yes I'd like renew my membership in Brookline PAX.

Here is my dues contribution:
Regular Membership: Single $30   Regular: Family $50
Fixed income or Student: Single $20    Fixed Income or Student: Family $30
 Sustaining: $50    Patron: $100

Name:

Street Address:

City:  State:  ZIP: 

Telephone:  Email: 

 I'd like to get more involved in PAX activities. I will contact: Neil Gordan (neil@nrgordon.com).

Here are the names and addresses of friends or neighbors who should be on the PAX list:

 

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