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PIONEER AUTO CLUB
2008 Membership Application
Annual Membership $20.00
Due Jan 1, 2008
	Name:
	Spouse Name:
	Address:
	Phone:
	Email Address:
	Cell Phone:
	Car:
	Make $20.00 check to Pioneer Auto Club
	Mail to:
	Steve Ellefson, PAC Treasurer
	4320 Roundup Rd
	Bismarck, ND 58503
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