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Membership Application Please check one: I i Gold Star Membership Qualifications: Employees of government, military, school systems, colleges, utilities, airlines, banks and approved credit union members and approved companies Mail or bring this application to Price Club Enclose copy of statement or check stub from qualifying group with this application
Business Membership
Qualifications Business owners, managers, purchasing directors,
non-profit organizations and most licensed professionals
qualify Enclose copy of business license with this application.
Mail or bring this application to Price Club
Annual Fee: Name Address
_Phone Second Cardholder
$25
$10 Qualifying Organization
For Business Membership Only Type of Business. Business Name Business Address
Resale# __ Third Cardholder Name Fourth Cardholder Name
$10
$25
In consideration for becoming a member of Price Club, the undersigned confirms: 1. The information on this application is accurate to the best of my knowledge. 2 The business guarantees all checks issued by its cardholders to the Price Club or the Price Company 3 Price Club information and rules are available at any Price Club 4.1 would like a complimentary annual subscription to the Price Club Journal Yes_No
Signature ' _____
Mail or bring this application, check for membership fees, and proof of qualification to the Manassas Price Club 10701 Sudley Manor Dr. Manassas, VA 22110 PRICE CLUB® is a registered trademark ot the Price company
Total Fees:
L
84.8%