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1055 Route 32 Rosendale NY 12472 845-658-8198 Rosendalerecreation gmail.com Pool Membership 2017 Name Member Address City State Zip Phone Email Membership Type Please circle resident status/fee Family resident 200. 00 non-resident 300. 00 For a family of 3 w/ 25. 00each add. Individual Senior 65 Dependents Age Gender wish to apply for membership at the Rules see attached established by the Rosendale Recreation Commission. Signature Date Total Paid Ck Cash Credit Date Cashier Signature.
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