Kim Koza

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Season2024-2025
Application Statusrenew
Membership TypeIndividual ($60/yr) ($60.00)
LastKoza
FirstKim
Address2050 S Shore Road
Hadley, New York 12835
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Phone(518) 810-6200
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 DateSeptember 5, 2024
Payment MethodPayPal
Payment StatusPaid
Transaction ID4L760155G11944918