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Fill out the form below, make your check or money order in the amount that corresponds to your type of membership and mail your payment and completed form to Spring Valley Nature Club

at 1111 E Schaumburg Rd Schaumburg Il 60194 Thank you for being a member of the Spring Valley Nature Club.

Individual         $15.00                                         Name ___________________________________________________


Family               $25.00                                        Address ________________________________________________


Supporting        $35.00                                         City _____________________________________________________


Senior               $10.00                                         State Zip ________________________________________________


Family Fun      $125.00                                         Phone # __________________________________________________


Life                  $150.00                                         Email ____________________________________________________


Sponsor         $1000.00

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