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Patron membership application

Patron membership application 2026

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The document is a membership application form for the Patron M program, requiring personal information such as name, address, and payment details for a one-time membership fee of $20. It includes sections for donor information and payment methods.

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Click ‘Get Form’ to open the patron membership application in the editor.
Begin by selecting your title (Mr., Mrs., or Ms.) and enter your name clearly in the designated field.
If applicable, provide your spouse's name in the next section.
Choose your patron designation by selecting either 'BR' for a one-time opportunity at $20.00 or 'TLR'.
Fill in your preferred address, including city, state, and ZIP code.
Enter your home and office phone numbers in the respective fields.
Provide your Social Security number as required for identification purposes.
Select your payment method: credit card (MC/VISA/AMEX) or donor’s check, and fill in the necessary details accordingly.
Sign and date the form at the bottom to authorize payment and complete your application.

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