Name ___________________________________________________________

  Address ________________________________________________________

  City _____________________________________________________________

  State _________   Zip Code _________________

  Phone (______)_______________ *

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The annual membership contribution is $25.00
 per individual or family. Please make your check payable to the:

Canal Society of New Jersey

and mail to:

Canal Society of New Jersey

P.O. Box 737

Morristown, NJ   07963-0737






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