| Friendship makes prosperity brighter, while it lightens adversity by sharing its grieves and anxieties. Cicero |
| Member Contact |
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| You can open this, print, and mail to the address below over the phone, read the information below. |
Join KCA today! Call 1-785-488-7212 or email: danawoodkca@kc.rr.com Have your MasterCard or Visa ready or Fill out the membership form and return with you payment to: Dana Wood, 6727 Lackman Road, #308, Shawnee, KS 66217 Name: _______________________________ Position: ______________________________ Mailing Address: ______________________ Employer: _____________________________ Street, PO Box, or Rural # ___________________ School/Organization (if you wish sent to work) City/State/Zip (Please include +4 numbers) ____________________________________ _______________________________ Home Phone: _________________________ Fax Number: ________________________ Work Phone: _________________________ Email Address: _______________________ CHECK ONE: Receive Newsletter by email: _____ Yes _____ No I am applying for a _____ NEW _____ RENEWAL membership |
