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Membership
Form |
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"The friendship between me and you I
will not compare to a chain; for that rains might rust, or the falling tree might break." --William Penn |
| The Freedom Riders Of Philadelphia Membership Form. ALL information is confidential excluding the contact information for other users to reach you. |
| Name: |
| Address: |
| Phone: |
| E-mail: |
| How would you like other members to contact you? (info
will be put on website for members to
see) |
| Please mail this completed form to the following address: | |
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