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                       KANC Member Registration 2025-2026

Name____________________________________________________
Address__________________________________________________
City__________________________________ State__________ Zip____________
Phone_________________________________________
Cell___________________________________________
Email____________________________________________________ (Please print clearly as newsletters are sent by email)
Spouse/partner__________________ Birthday: M________D________
Hobbies and Interests__________________________________________________
New member? (Y/N) ____________
How did you find out about KANC______________________________
Dues: $20.00 ( check) $20.91 (Paypal--search "Kalamazoo Area Newcomers Club")  
*Note: If you are a new member and join during February, March, or April the dues are half price. If you join during May you pay full price, but it covers the following year.
Please complete this form and mail it with a $20 check made payable to KANC or complete PayPal electronic payment of $20.91
Checks and membership forms - mail to: 

                                                   Morgan Zapata
                              6335 Leyland Pine Street, Portage, MI 49024