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Alliance Membership Addendum
(Please print a copy of this form, and sign and return to address below)
 

I hereby acknowledge and agree to meet the obligations of membership, specifically the payment of Alliance dues,
in exchange for the privileges and benefits of Alliance membership.


________________________________________________________________
Printed Name/Title

________________________________             _________________________
Signature                                                               Date

_____________________________________            _______________________, _____
Organization Name                                                 City and State

Please send a signed copy of this form to:

Alliance for Children and Families
ATTN: Director of Marketing & Membership
11700 W. Lake Park Drive
Milwaukee, WI  53224

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