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Lake Lure Social Club

Applicants First Name

Applicants Last Name

Email

Applicants Primary Phone #

Local Address

Mailing Address (If Different)

2nd Applicants First name

2nd Applicants Last Name

Email

2nd Applicants Primary Phone #

Local Address (If Different)

Mailing Address (If Different)

Yearly Membership Options *

Applicant 1 - $25

Applicant 2 - $50

If you have 2 Applicants check

ONLY the Applicant 2 option. If not the second person WILL NOT be a member.

Fee for 2 Applicants (memberships) is $50

We look forward to meeting you!

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