Season2024-2025
Application Statusrenew
Membership TypeIndividual ($60/yr) ($60.00)
Primary Account Holders NameNeil Shapiro
Address1129 Godfrey Lane
Niskayuna, New York 12309
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Phone(518) 930-3065
EmailEmail hidden; Javascript is required.
Vaccination StatusVaccinated
Acknowledgement
  • I acknowledge and represent that I have read and understand it and that I agree to it voluntarily and for full and adequate consideration, fully intending to be bound by the same.
Payment Amount$60.00
Payment DateAugust 30, 2024
Payment MethodPayPal
Payment StatusPaid
Transaction ID4Y666975SL054061G
Approval StatusUnapproved