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Membership Form Valley Stream Historical Society P.O. Box 22 Valley Stream, NY 11582 Dues Individual: $15, Family: $20, Business: $25, Lifetime: $100 Date: Payment Amount: Name: Renewal: Address:
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Follow the prompts on the form to enter the specific information relevant to each due amount (15, 20, and 25). This may involve entering income, deductions, credits, or any other information required to calculate the given dues.
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