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Koi Club of San Diego
HOST OF THE 2009 AKCA SEMINAR

Membership Registration Form

Annual Family Membership $35 per year

New
Renew

KOIUSA magazine $20 per year (6 issues)

New
Renew

Last name

First name

Names for badges (free for new members)

Email

Street address

City

State

ZIP

Telephone

Number	Type	OK to put in roster
	home
	work
	cell