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| Affiliation Fee: $30.00 (Please make check payable to NFSS) | |||
| Club Name: | State: | ||
| Club Delegate: | |||
| Address: |
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| *Phone: | *Email: | ||
| *NFSS may use this information in the NFSS Journal and on the website. www.nfss.org | |||
| Delegate's Signature: | |||
| Club Officer: | |
| Address: |
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| Phone: | Email: |
| Club Email contact (important): | |
| Club website: | |
| Send NFSS Journal to: | |
| Address: |
| Show/Event Date: | Panel Judge: |
| Location: |
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| Please list other fairs or events for listing in the Journal and on the website. Include dates, locations, and a contact member name with phone number and/or email address.
Use the back of the form for this information |