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Brown Orchestra Booster Club

                  BECOME A MEMBER NOW.........

        Parent’s Name___________________________

        Student’s Name___________________________

        Mailing Address___________________________

        Home Number____________________________

        E mail Address______________________________

        Grade____Class Period_________             
       

Membership Dues: ( Pls.Check one) Make checks Payable to: BOBC

                        ___  $20.00 Regular Membership

                        ___   $35.00 ( 2 or more children in program)

                        ___   $50.00 Sponsor

                        ____ $100.00 Corporate

Your support will help fund student incentives throughout the school year. Thank you parents!      

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