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MARIPOSA SPCA MEMBERSHIP 
 If you would like renew your membership or become a member please print and fill out this form and send it to the SPCA along with your contribution.
 
 $25.00    Individual
 $35.00     Family
 $50.00     Friend
 $100.00   Supporter
 $500.00   Patron
 
 
 Name___________________________
 
 Address_________________________
 
 City and State____________________
 
 Zip__________
 
 Phone___________________________
 
 Renewal___    New Member_____
 
 MARIPOSA SPCA
 P.O. Box 671
 Mariposa, CA 95338
 Phone  209-966-5275
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