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X__________________________________________ _____________
Card Holder Signature Date
Ground Crew Membership Form
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q 1 year $24.95 q 2 years $49.90 q 3 years $74.95
q 4 years $99.90 q 5 years $124.75
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Expiration Number:
X__________________________________________ _____________
Card Holder Signature Date
If you choose to join for 2 or more years you will receive
the following gifts. Please circle T-Shirt size if applicable.
the following gifts. Please circle T-Shirt size if applicable.
q 2 Years Mug
q 3 Years Mug or T-Shirt Size: S, M, L, XL, XXL
q 4 years Mug and T -Shirt Size: S, M, L, XL, XXL
q 5 Years Mug or T-Shirt Size: S, M, L, XL, XXL
and autographed copy of the Dirt Doctor's Bug Book.
q 3 Years Mug or T-Shirt Size: S, M, L, XL, XXL
q 4 years Mug and T -Shirt Size: S, M, L, XL, XXL
q 5 Years Mug or T-Shirt Size: S, M, L, XL, XXL
and autographed copy of the Dirt Doctor's Bug Book.
If this is a gift membership please fill out the following: Gift to: __________________________________________________
Address_________________________________________________
City_____________________________ State______ Zip__________
Email Address____________________________________________
Phone___________________________________________________
Gift From:________________________________________________ |
Thank you joining the Ground Crew and
enjoy your membership.
enjoy your membership.
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