Heron Haven
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            Membership to the Friends of Heron Haven is $25.00 a year for an Individual or Family Membership and $15.00 a year for a Student Membership.  If you would like to join and  support the Friends of Heron Haven, print this page, fill in the information, and send it with your check to the address on the bottom of the form.

            _______________________________cut here______________________________
            Membership Application
            Friends of Heron Haven

            Name(s)________________________________________________________________________________________________

            Address_________________________________________________________________________________________________

            City______________________ State_______________ Zip____________________ Telephone____________________________

            Email_______________________________________________________

            Membership:  $25.00 Individual or Family Membership____________________________

            Student:  $15.00 Student Membership_________________________________________

            I wish to make an additional donation of _______________________________________
            Please make check payable to: "Friends of Heron Haven" and mail to:
                                                                        PO Box #103
                                                                        Boystown, Ne, 68010-0103
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