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Butterfield Gulch Gang Membership Application
Name _______________________________ Alias____________________________________ SASS Number ____________ SASS Category ___ ___________________________________ Address _________________________________________________ Apt No. ______________ City_________________________________________ State _______ Zip ________________ Home Phone (______) ______ - __________ Email ____________________________________ Annual dues are $25.00. Make check payable to: Butterfield Gulch Gang, P O Box 1034 Salina KS 67402-1034 Copy and Paste this into your word processor then print, fill out, and mail.
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