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Annual Dues Schedule:

Single Membership: 1 Year - $12.00      3 Years - $30.00  

Family Membership: First Membership same as above, and each additional membership at same address - $7.00 per year.


Please print this application and mail to:

International Association of Baby Boomers plus
6140 112th Avenue, Suite 101
Holland, MI  49424  USA

If you have questions, please e-mail us at: boomers@boomersassoc.com or call 616-875-7018.

Full Name Blood
Type
Organ
Donor
Consent?
Birth Date E-mail Address Signature
           
           
           
           
           
           
           
           
           

ADDRESS::  ________________________________________

CITY:  ______________________   STATE/COUNTRY:  ___________

ZIP/COUNTRY CODE: _____________________

TELEPHONE NUMBER: ( ____ )______-_________

Please send check or money order only.  Thank You!
You should receive your membership packet in the mail within 3-4 weeks.

With the money you save using your IABB Plus Membership card,
please consider a gift membership for a friend or relative!


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