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Svenskbyborna Society Membership
Application Name(s):_________________________________________________________
___________________________________________________________ ___________________________________________________________ Svenskbyborna family name: _____________________________________Mailing address: ________________________________________________ ________________________________________________ City: ___________________________________________________________Province/State: ________________________________________________Postal/Zip Code: ________________________________________________Phone Number: ________________________________________________Email address: ________________________________________________Please
note: The Society would like to print a membership
directory so members can contact each other directly. Please check the box below if you agree to
have your name included in the directory.
Your contact information will not be distributed to third parties. Yes, I give my permission to print my contact information in a
membership directory to be distributed to members only. Enclose a
cheque for $25 and mail to: Svenskbyborna
Society |