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Name: ___________________________________ Renewal ____ New____

Preferred Mailing Address:
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Winter Tel:_____________________________ Summer Tel:_______________________
Email:_______________________________________

OUR MEMBERSHIP YEAR IS THE CALENDAR YEAR

The membership year is identical with the calendar year. If returning a contribution, please mark your category alongside and provide the information requested above.

Categories of Membership:

My Cape Cod Home is in:

I am a Registered Voter on Cape Cod:   YES   NO

Your contribution is tax deductible. Please csned this form with your checks payable to Friends of Pleasant Bay to:

Friends of Pleasant Bay
P.O. Box 1243
Harwich, MA 02645

Our investments in the future of the Bay are subject to our resources. Together we aim to cherish the present, enhance the future and relish the good things of the past.