Season2024-2025
Application Statusrenew
Membership TypeIndividual ($60/yr) ($60.00)
Primary Account Holders NameAlan LaBrecque
Address6 Twinbrook Court
Clifton Park, New York 12065
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Phone(518) 527-5655
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 DateNovember 18, 2024
Payment MethodPayPal
Payment StatusPaid
Transaction ID7E6615226E377205P
Approval StatusApproved