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I am submitting this request to PLEASE PRINT Rollover my membership to myself for Norwescon 39 2016. Please fill out this form make a copy for your records and mail it to Norwescon Attention Registration 100 Andover Park W Suite 150 165 Tukwila WA 98188 2828 NORWESCON 38 REQUEST FORM FOR MEMBERSHIP ROLLOVER I will not be able to attend Norwescon 38. If a membership goes unused the year it is issued and the year following it is forfeit. Signature Date / / Daytime phone number in case of...
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