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G.O.A.T.S

Join the G.O.A.T.S

Amount due is $90.00
Make your checks payable to the GOATS.
Mail to:
Jeffrey Ehlenbach
Courthouse Square
1000 Fourth Street, Suite 570
San Rafael, CA 94901

PLEASE FILL OUT ENTIRE FORM, then print
MrMrs
GHIN:
First Mi Last
Street Apt.
City State Zip
Home Phone --
Office Phone --
Date of Birth --
***EMail Address***:
Are you a previous member?
**PLEASE FILL OUT ENTIRE FORM AS THIS IS OUT MEANS OF COMMUNICATING WITH THE MEMBER

For Office Use Only:
Entered on Roster
Welcome Letter Sent
Entered in GHIN Computer - Date -                      

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