Men's Club Membership and Dues Application

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* First Name

* Last Name

* Email

* Contact Phone number

* Address

Please check the box below to pay this year's Annual Men's Club Dues and let us know if you would like to make any additional donation to the Men's Club. Thanks!

* $36 Annual Men's Club 2021-22 Dues

$36 Annual Men's Club 2021-22 Dues

I would like to make an additional donation to support the activities of the Men's Club in the amount of:

Please list or describe any areas of interest/expertise that you have, such as sports, hobbies, education, social action, etc. that you might wish to participate in or lead:

Total

Sat, July 5 2025 9 Tammuz 5785

B'nai Shalom of Olney · 18401 Burtfield Drive, Olney, MD 20832 · info@bnaishalomofolney.org · Phone: (301) 774-0879

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