 | | | | | First Member:_________________________________
Second Member:__________________________________
Address:____________________________________
City:____________________Zip:—––––––––––––-
Phone:_____________________________________
Cell:_______________________________________
Cell:_______________________________________
Email:______________________________________
Membership :
Individual - - - - - - - - - $10.00
Family ( two or more)_$20.00
____________________________________________
Are you new to Dutch oven cooking?__________
Mail: Columbia Basin Dutch Oven Society
601 S Pioneer Way, Suit F Box 212
Moses Lake, WA 98837
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