Memebership Registration Form
     
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Membership Registration Form
Now that you've seen the very inspirational and very positive things about this club.
We'd love to have you as a lifetime member.
By using your printer.
You can print up the membership registration form and fill it out and return it to
INNER SPIRITUAL PRODUCTIONS,INCORPORATED.
P.O.Box 721266
Berkley,Michigan 48072-0266.
Please be sure that your address and telephone number are correct.
Please be sure to return all completed membership registration forms.

Name_______________________________________

Address______________________________________
City,State/Province,Zip/Postal Code___________________________________________
Telephone #_____________________________________

Birthdate_____________________________________
Emergency contact person________________________
C.P.R. Certificatication___________________________
Lifetime memberships.
____Blue lifetime membership ($20.00)
____Green lifetime membership (FREE)
____Talent
____Volunteer
Signature of Member____________________________