10 Girard Place
Merrick, NY 11566
year is from October to October)
State & Zip: ___________________________________________
______________________ E-mail: _______________________
or Associate Membership: New _____ Renewal _____
($10.00) _____; Family ($15.00* one household) _____.
Sustaining Membership ($25.00) _____; Individual Life Membership ($150.00)
Membership, please write all the names of those you wish to include with
this Annual Dues form, and their relationship to you. In this instance,
the term "family" refers to those living in one household.
ARE AN ASSOCIATE MEMBER, (friends of the Raynors), PLEASE CIRCLE THE WORD
MEMBERSHIP TOTAL ENCLOSED $_____________
(Make checks payable to the Raynor Family Association)
at any time, you wish to pay for another persons' annual dues, outside
your own family membership unit, please indicate and include a separate
dues form, or the full name and address of that person or persons and type
of membership with the check.
you very much,
click above for additional information.