NAMEADDRESSHOME PHONECELL/WORK PHONEEMAILDo you want to be included on a website directory? YES NO
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What monthly cruise would you like to help? Choose Cruise Date Below April 23 May 28 June 25 July 23 August 27 September 24 October 22
If you prefer, mail your membership to:South 71 Cruisersc/o Mike Johnston19407 South Cleveland AvenueBelton, MO 64012Comments / Order Your Shirts Here: (Tell us which style shirt, size and color)