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Membership Application

Name ____________________ Spouse ____________ Address ____________________________________ __________________________________________ Home Phone_______________ Work Phone_________ Member Questionnaire 1. Do you have specific interests in (check all that apply) Koi _______ Water Lilies _______ Fish ______ Lotus ________ Fountains _________ Ponds _____ 2. Do you have a pond? Size __________ Type fish ________ Under Construction_________ 3. Suggestions for club projects? Copy and submit email to Natatorium@angelfire.com _____________________________________________ ______________________________________________ 4. Pond visitors at your convenience? Yes___No___

Current Augusta Koi & Water Garden Society Officers

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