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Friends of 1800 Market Membership Form

NAME:  _________________________________________

ADDRESS:   _________________________________________

CITY:  _______________________________

STATE: ____    ZIP: ____________   COUNTRY:____________________

NEW MEMBER: _____     RENEWAL: _____


_____ $25 INDIVIDUAL

_____ $40 PARTNERS

_____ $150 CORPORATE
 
_____ DONATION   $__________



Print and mail this form with your check payable to Friends of 1800 to:

Friends of 1800
7 Beaver Street
San Francisco, California 94114


Your contribution will support preservation of San Francisco and significant GLBT sites.

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