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(@B: " 2 : h2:  CHNKINK TEXTTEXTSTSHSTSH FSTSHSTSH FSTSHSTSH4FDPPFDPPFDPCFDPCSYIDSYIDSGP SGP INK INK BTEPPLC $BTECPLC <FONTFONTT STRSPLC ^>MCLDMCLDPL PL ZCHAIN FUND, INC. General Membership Want to Join our membership, just fill out this quick form along with your payment and return to: The CHAIN Fund P.O. Box 6344 Hamden, CT 06517 Thank you ! Name: ___________________________________________ Address: ________________________________________ ________________________________________________ City & State__________________________ Zip__________ Phone:____________________ Cell: ___________________ Email: __________________________________________ Occupation: ______________________________________ Signature: __________________________Date: __________ Would you be interested in volunteering at events: Yes________ No_______ Any Special Skills you posses:__________________________ __________________________________________________ Annual Membership Fee $15.00 ____1yr. ____2yr. _____3yr. _____4yr. Total enclosed: ___________ CHAIN Fund Staff Receiving Membership Initials ________ Date Rec d ____________ 2aN1͡ &,2 N1͡(HP~" "$           ,9"D "| "* "\K$           ,8 9"\KD " . 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