Bert van Grondelle

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Season2024-2025
Application Statusrenew
Membership TypeIndividual ($60/yr) ($60.00)
Lastvan Grondelle
FirstBert
Address2324 Rosendale Road
Niskayuna, New York 12309
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Phone(518) 381-6452
EmailEmail hidden; Javascript is required.
Payment Methodpaypal
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 21, 2024
Payment MethodPayPal
Payment StatusPaid
Transaction ID69G13588500688826