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Send the bottom portion with your dues to: 
John Thomas, Treas.
37 Tum a Lum Circle
Westerly, RI   02891



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NORTHEAST COACHES FOR CHRIST

Membership Renewal

FMCA # ___________________

Name(s) __________________________________________

Address ________________________________________________________

City____________________________Stae/Prov_______________Zip________

Home Telephone______________________Cell # _________________________

E-Mail Address _____________________________________________________

Dues are $10 per unit, per calendar year. Please make checks payable to:
Coaches for Christ, Northeast Chapter         

Mail to: John Thomas, Treas.
37 Tum a Lum Circle
Westerly, RI   02891