Mens Club Membership Application
 
    

Full Membership - $140.00/year; all brunches included (no fees)
Standard Membership - $50.00/year; $20.00 fee per brunch

First Name
Last Name
Address
City
State
Zip
Phone
email address
Membership     



Please make checks payable to Temple Isaiah Mens Club and mail to:

Temple Isaiah Mens Club
 c/o Fred Berko
6304 Bright Plume
Columbia, MD 21044-3751

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