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APPLICATION FOR 2009 CFSS MEMBERSHIP Owner: $100.00 Driver: $50.00 Driver/Owner: $125.00 Newsletter only: $25.00 Check the appropriate MEMBERSHIP and send form with proper amount of money to: CFSS 6333 Burts Road Tampa, FL. 33619 PLEASE PRINT Name: ___________________________________________Car#: _______ Address: __________________________________________________ City:_________________________ State:________ Zip: _____________ Phone :(_____________________ ) E-Mail: _______________________________ Owner Only SS# or FED#: _______________________________________________ |