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Currier & Ives Dinnerware Collectors
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Membership Application/Renewal Form [Fiscal year: June 1--May31] Membership Number (if Renewal): _________________
Name(s): ________________________________________________________ Address: ________________________________________________________ City: ________________________________ State: ______ ZIP: __________ Phone: ( ____) ________________ E-Mail: __________________________ Does Currier & Ives Dinnerware Collectors have your permission to publish this information in our membership listing? (Yes) (No) Check or money order payable to C & I Dinnerware Collectors. Print, fill out, and mail with payment to: Charles Burgess, Treasurer 308 Jodi Drive Brownstown, IN 47220.
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