| Arkansas State Society |
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The current yearly membership is only $40 annually for an individual membership Join today and share in the fun and excitement with your fellow Arkansan's.
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Arkansas State Society of Washington D.C. |
| Arkansan: | |
| Spouse/Partner: | |
| Arkansan home: | |
| Spouse/Partner Home: | |
| Arkansan Alma Mater: | |
| Sp./Part. Alma Mater: | |
| Arkansan Office Phone: | |
| Spouse/Partner Office Phone: | |
| Local Phone: | |
| Local Street Address: | |
| City, State, Zip: | |
| Children Names: | |
| Fax Number: | |
| E-mail address: |
| Enclosed find: | For Office use only: |
| ___ $40 for Individual | Membership No. ________ |
| ___ $50 for Family/Couple | __ New __ Renewal: |
| Please return this completed form with your check made payable to the Arkansas State Society. |
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| Mail to: Arkansas State Society 4000 Cathedral Ave, NW Box 631B Washington, DC 20016 |
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