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Niagara Naturists Membership Transfer Application

(This form is used to transfer your membership from an AANR Associate

Membership (or from another club)

"Note, couples must complete two applications

This is a request to transfer my basic membership from (Former club name):
to Niagara Naturists
First Name:
Middle Initial:
Last Name:
Email:
Please enter your AANR "P" number:

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Phone:	Format: 555-555-1212
Mailing Address Line 1
Mailing Address Line 2 (optional)
City
State
Zip:
By checking this box and printing my name, I am certifying that I wish to transfer my membership:
Print Name:

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