FRIENDS OF THE MERRIMAC COA 100 East Main Street Merrimac, MA 01860 Dues Statement Dues for fiscal year Sept 1, 2009 Thru August 31, 2010 Make Checks payable to: “Friends of the Merrimac Council on Aging” NAME_________________________________ ADDRESS_____________________________ _______________________________________ TELEPHONE___________________________ Membership dues: Individual Membership $ 5.00 Family Membership $10.00 Silver Membership $10.00 Gold Membership $20.00
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