| Please fill out the application below (TYPE or PRINT) and send to: |
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| Jim Olean, MEMBERSHIP CHAIR CANDY CONTAINER COLLECTORS OF AMERICA 115 Macbeth Dr Lower Burrell, PA, 15068-2628 along with your check in the amount of $25.00 payable to the: CANDY CONTAINER COLLECTORS OF AMERICA |
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| Name ___________________________________________________________ Address _________________________________________________________ City ______________________________ State _________ Zip Code ________ Country _________________________________________________________ Telephone ______________________ E-Mail ___________________________ What are your favorite candy containers? ________________________________ How did you hear about our club? _____________________________________ |
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