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___________________________________________________________________

MEMBERSHIP APPLICATION

FOR

UNION CAMPGROUND

CEMETERY ASSOCIATION, INC.

Name ___________________________________________

Address _________________________________________

              __________________________________________

Phone number(s) ___________________________________

Email Address _____________________________________

Individual ($15) membership ___    Family ($25) membership ____

Do you have any family members buried at the cemetery (and who)?

________________________________________________________

________________________________________________________

How did you hear about our organization? _____________________

________________________________________________________

Please copy this form and mail it and your check to:

Pansy Harvey, Treasurer
Union Campground Cemetery Association
3822 E. State Hwy. AA
Springfield, MO  65803


This website and all content is copyright 2011 Briar Tree Web Design and The Union Campground Cemetery Association.

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