ECONOMIC CLUB OF LAPEER COUNTY RETIREE MEMBERSHIP

Retiree Membership Fee (three luncheons): $100

Miss	Ms.	Mrs.	Mr.
Enter your name:
Home Street:
Home City:
Home State:
Home Zip:
E-mail address:
Include in membership directory:	Yes	No
Home Phone:
Send Mail To:	Office	Home

Please return application and check payable to Economic Club of Lapeer County.
Thank you for your support.