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Membership Application For La Réunion des Babineaux et Granger August 16, 2007 through August 16, 2008 ________$10 [US] Annual Membership [per household] ________$300 [US] Lifetime Membership FAMILY AFFILIATION: ______ BABINEAUX ______ GRANGER NAME _____________________________________________________ SPOUSE ____________________________________________________ ADDRESS __________________________________________________ ____________________________________________________________ PHONE (HOME) _____________________________________________ (WORK) _____________________________________________ E-MAIL ADDRESS ___________________________________________ Please make copies for all your cousins and give them an opportunity to belong. Thank you. Don Babineaux Make checks payable [in US dollars] to "La Réunion des Babineaux et Granger" and mail to: Don W. Babineaux505 Daniel Drive Lafayette, LA 70503 USA
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