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		NAME_________________________________________________________ ADDRESS_____________________________________________________ CITY, STATE, ZIP_______________________________________________ HOME PHONE_________________OFFICE PHONE__________________ EMAIL ADDRESS______________________________________________ Do you want your newsletter via : ____ Email Only ____ Regular Mail ____ Email and Regular Mail Please send your check for $40.00 Referred By _______________________ (W&W Member) In addition we need your email address as we are preparing to introduce our web site. Email Address________________________________ PLEASE INDICATE YOUR PREFERENCE BY CHECKING: Continue to receive a monthly mailing. _______________ OR To be notified via email of the availability of the monthly newsletter and activity flyers on the www.woodsandwatersclub. com web site. _______________ OR Both _______________ Made Payable to "The Woods and Waters Club, Inc." Mail to: Woods and Waters Club, Inc. P.O. Box 670393 Northfield,OH 44067