The Old Carmel 1936                                                                            Carmel Restored

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New Member Form
Please make checks payable to:
The Restorers of Mount Carmel

Type of Membership
(Please Check One)

[ ] Annual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 25.00 
[ ] Perpetual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00

Please Print

Name:__________________________________________________________
Mailing Address:__________________________________________________
                         __________________________________________________
Telephone No.___________________________________________________
e-mail address:___________________________________________________