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Application and Dues

Membership Form 2000-2001

Send this form and a $35 check payable to:
Baruch College Alumni Association
Box D-907 New York, NY 10010

Name____________________________________________Class________________

Company______________________________________________

Business Address________________________________________________

City_________________________________State_____________Zipcode__________

Phone ______________________________Fax_______________________

EMail__________________________________________________________

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Home Address__________________________________________________________

City_________________________________State_____________Zipcode__________

Phone ______________________________Fax_______________________

EMail__________________________________________________________

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