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Application Date: _________________________
Names and Dates of Birth for Minor Children:
_______________________________________________
_______________________________________________
_______________________________________________
Applicant's Occupation: ____________________________
Spouse's Occupation: _____________________________
____________________________________________
____________________________________________
____________________________________________
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________________________________
________________________________
(___)________
(___)________
(___)________
The foregoing answers are true and correct to the best of my knowledge and belief, any misrepresentation of facts may be cause for denial or termination of membership.
Signature of Applicant:
___________________________________
Date: ___________________
Referred by:
___________________________________
Please print this form, complete the application, and mail with your check for the annual membership dues in the amount of $35.00. Mail to:
African Overseas Union
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Photo by Harald Lange, from "Kilimanjaro, The White Roof of Africa"