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Approving Officer  (Office Held Signature)
                                                
Cape Verdean West Association
                 P.O Box  323
  Saint Helena, CA 94574-1205
APPLICATION for MEMBERSHIP
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Name (Last, First, Middle Initial)
Home Phone
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Address
Business Phone
City
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Date of Birth
NAME & RELATIONSHIP OF IMMEDIATE FAMILY
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NOTIFY IN CASE OF EMERGENCY
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Relationship
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Phone Number
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OATH OF MEMBERSHIP
I the undersigned, do  solemnly  promise  as a member of  this Association to
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Applicants Signature
Date
Sponsor
For Association use only
Comments
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PERSONAL  DATA
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endeavor best ability to support the Constitution and By-laws and to work
towards making the Cape Verdean West Association a better organization
by carrying out all duties and responsabilities accepted by me to a timely and
successful conclusion.
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CLICK HERE FOR MORE INFO ON  MEMBERSHIP
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e-mail: cvwassociation@yahoo.com