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Would you like to become a member of the
Union Literary Institute Preservation Society?
New members:
Print this page and fill out the form
below and mail to the address provided with your yearly dues.
Renewals: Mail your dues to the address provided.
Make checks payable to:
Union Literary Institute Preservation
Society or ULIPS.
Membership Registration
Name_________________________
Address _______________________
______________________________
______________________________
Phone_________________________
Membership Type:
__ Individuals, $10
__Juniors (Under 18), $5
__Seniors (Over 65), $5
__Family, $15
__Corporate (Minimum), $25
__Life (Minimum), $100
Date__________________________
Send to:
ULIPS
PO Box 734
Lynn, IN 47355
Thank you for your support!
Want to know more? Please contact
Mr. Leavell as
listed at the bottom of any webpage. |