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Print out and complete

Application for membership

Name:_______________________________________________________________

Address:_____________________________________________________________

              _____________________________________________________________

Email:________________________________________________________________

Home phone #: ________________________________________________________

Cell phone #: __________________________________________________________

Signature: ____________________________________________________________

By signing I agree to the terms and conditions of the Keystone Crappie Association. 

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Individual Annual Membership:  $20.00

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Mail completed application and check to:  

Keystone Crappie Association
8665 Winchester Drive
Pittsburgh PA, 15237

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Initial membership includes a welcome packet

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© 2004-Present Keystone Crappie Association