WPC
(2;O44x1 3ڬ7Bu t>OHx? ~b w7z:iԌ-݁s"u+{/- 8D`1Q#3 7 Ii8k>k8* Ɛ@fGF_icLUɁV 1`'nK|KYz5Pϥ&RRVBpsDC9,}cS
.|,|ʴjL뼫nR,JJ_2ɄZ.F qh}u{Ĵ<[lYdRa2[= KL% *Uڑ=@%^TPU@/R6n:"BHO@o 0% (X: ԉw2R ;u^YV3ڦw]U d ??Fbz} M-[Kߏ>10\L*Cp0ٯNٽkЫ) my # ! U : % 0 ( ^ # w @ / 4 o m H P L a s e r J e t 4 P , ,,,,, 0 ,
A Z " A r i a l R e g u l a r X ( $ x&
( D ) U * E + U , D - U . D / 0 E 1 qr& :i +003| x 1 U
! _ X , , X X 1999_ Tiwahe_ ԀLodge#45AnnualDues # X- X r # , NAME:___________________________________PHONE:()__________________ADDRESS:__________________________________________________________________CITY:________________________________STATE:________ZIP:_________________BIRTHDATE:___________________CHAPTER:___________________________________ORDEALDATE:__________BROTHERHOODDATE:__________VIGILDATE:__________ f FEES:0 0 %% $7.50per_ Arrowman_ ԀperYear0 % % 0 %% 0 ^%% ____X$7.50=_________
^%^% FAMILYRATE:0 $5.00pereachadditionalfamilymember0 ^ % % ____X$5.00=_________
^%^% 0 F 0 F%F% 0 %% (Appliedonlyifregisteringatthesametime
% % 0 F 0 F%F% 0 %% andseparateformusedforeach_ memeber_ )0 ^ % % TOTAL:_______________ ^%^% MAKECHECKSPAYABLETO:BSA(Account#1237100000)MAILTO:0 _ Tiwahe_ ԀLodge#45,BoyScoutsofAmerica,1207_ Upas_ ԀSt.,SanDiego,CA92103 ^ %% ̄FOROFFICIALUSEONLY(Donotwritebelowthisline)DateReceived:___________AmountReceived:___________ReceiptNumber:__________ X X- # X- X # Z. C 0 w X X- 0 X X- ,++, .. 0//0//1________________________________________________________________ _1_ Ԁ (### Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є## Є# F ( *) )*- - 1999_ Tiwahe_ ԀLodge#45AnnualDues# X # |P X- X L NAME:___________________________________PHONE:()__________________ADDRESS:__________________________________________________________________CITY:________________________________STATE:________ZIP:_________________BIRTHDATE:___________________CHAPTER:___________________________________ORDEALDATE:__________BROTHERHOODDATE:__________VIGILDATE:__________FEES:0 0 %% $7.50per_ Arrowman_ ԀperYear0 % % 0 %% 0 ^%% ____X$7.50=_________ Z&.%& ^%^% FAMILYRATE:0 $5.00pereachadditionalfamilymember0 ^ % % ____X$5.00=_________ :('( ^%^% 0 F 0 F%F% 0 %% (Appliedonlyifregisteringatthesametime
% % 0 F 0 F%F% 0 %% andseparateformusedforeach_ memeber_ )0 ^ % % TOTAL:_______________ *(* ^%^% MAKECHECKSPAYABLETO:BSA(Account#1237100000)MAILTO:0 _ Tiwahe_ ԀLodge#45,BoyScoutsofAmerica,1207_ Upas_ ԀSt.,SanDiego,CA92103 -,. %% ̄FOROFFICIALUSEONLY(Donotwritebelowthisline)# X X- # w X- X w DateReceived:___________AmountReceived:___________ReceiptNumber:__________ X X- J1 02 H # X- X #