Los Amigos de La Peņita
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| Name: | _________________________________________________________________ |
| Address: | _________________________________________________________________ |
| _________________________________________________________________ | |
| Email address: | _________________________________________________________________ |
| Telephone: | _________________________________________________________________ |
Purpose: The purpose of this agreement is to promote the mission of
Los Amigos de La Peņita.
__________________________________________ (print your name) seeks membership in
Los Amigos de La Peņita, a community service organization.
By signing this document, you agree to the extent possible to:
Signed: ______________________________________ Date: __________________