Venetian Isles Pap Membership/Renewal Form

 

                $35.00 PER YEAR
                $300.00 LIFETIME
 
NAME_____________________________________________________________________
 
ADDRESS_________________________________________________________________
 
PHONE________________________________BIRTHDAY MONTH___________________
 
E-MAIL ADDRESS__________________________________________________________
 
SNOWBIRD ADDRESS______________________________________________________
 
PHONE________________________________DATE______________________________
 
      __                                       __                                        __
     /__/  NEW                          /__/  RENEWAL                  /__/  LIFE                     
 
Checks should be made out to:  'VENETIAN ISLES PAP CORPS" and mailed or delivered to: 
 
Sheila Romanick                                     or                Carol Kamean         
8282 Marsala Way                                                      8925 Via Tuscany Drive            
Boynton Beach, Fl 33472                                            Boynton Beach, Fl 33472
Any questions, call 561-734-0760                                561-735-9857