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SalinePreservation Association

Membership Application

Please fill out form below, print it out and
mail to the address below with your check.

Date of Application 
Membership Category and Amount: 
Name:  
Street Address:  
City:  
State:  
Zip Code:  
Phone:  
Fax:  
E Mail:  
May we recognize your Membership on our web site?
Yes   No

Annual Membership dues

Senior (65+)/Student $15.00   Honorary Bailiff $200.00
Individual $25.00   Honorary Court Clerk $500.00
Saline Sponsor $50.00   Honorary Judge $1,000.00

Business / Organization

$100.00      

 Please make your check out to Saline Preservation Association

Your membership will help defray the operating costs of the Saline Preservation Association and will enhance our efforts to raise the support and funds necessary to restore and preserve the Saline Courthouse.

Saline Preservation Association is a Not for Profit 501(C)(3) Organization.
 

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SALINE PRESERVATION ASSOCIATION
P. O. Box 53
Pryor, Ok 74362
918-825-7868

© 2004 - 2007 Saline Preservation Association

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