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S.O.S. Maine
S. O. S.  Maine
P.O. Box 1785
Wells, ME 04090
M.C.C.

(   )  Yes, we want to be on the S.O.S. Maine team.  Here's our membership:
____ $25 Individual  ____ $50 Family   ____ $75 Business   ____ $100 Special

(   )  Yes, we want to be part of the Maine Coastal Coalition. Enclosed is a
separate donation to establish my membership.  Our donation is: $______

Total Amount Enclosed  $__________


NAME ______________________________________________________
 

Winter Mailing Address:
_____________________________________________________________
           Street                                               Town                                               Zip

 
Summer Mailing Address:
_____________________________________________________________
           Street                                               Town                                               Zip
 
Phone (summer) ______________________ (winter) ____________________
 
E-mail Address ___________________________________  (YES) Join Mailing List

Please print out the form, check the appropriate areas, and provide the requested information.
Please enclose your check payment and make it payable to: S.O.S. Maine.
Please mail to:

S.O.S. Maine
P.O. Box 1785
Wells, ME  04090

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Return To Previous Page | Print Out A Copy Of The Form