Membership Application Great Lakes Chapter of Spoom

__________ New Members ($10.00, includes entire family)
__________ Renewal ($10.00 includes entire family), for 2023 there is no charge for renewal of membership.
$_________ Total Amount Enclosed

Please Print this page and make check payable to Great Lakes SPOOM and mail to:
Mrs. Kay Garber, Treasurer
17280 CR 40
Goshen, IN 46526-7333
 
Name: _____________________________________________________________

Address: ___________________________________________________________

Phone (Home/Work/Cell)
(H)                                                      (C)                                         (W - optional)

email address ______________________________________________________

__________ I also belong to National SPOOM

__________ I own a mill.  _______________________Mill Name

__________ I work/volunteer at a mill. _____________________Mill Name

Location of Mill:  _____________________________________________________

My mill is open to the public Dates and Hours: _______________________________

________________________________________________________
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Additional information/notes, etc. ______________________________________________