Season2024-2025
Application Statusnew
Membership TypeIndividual ($60/yr) ($60.00)
Primary Account Holders NameBob Kleinbauer
Address20 Timothy Way
Mechanicville, New York 12118
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Phone(774) 487-4485
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 DateDecember 13, 2024
Payment MethodPayPal
Payment StatusPaid
Transaction ID5RX38667TH949350T
Approval StatusApproved