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Contact information
MEMBERSHIP REFERRAL FORM
* Indicates required question
Name
*
Your answer
Phone number
Your answer
Email
*
Your answer
What is your Y branch?
*
Choose
Champaign Family YMCA
If your friend joins, you will be eligible for one sweatshirt. Please tell us about your sweatshirt preference.
Choose
Black Camo
Heather Kelly Green
Heather Royal Blue
Heather Navy
Mint
What size sweatshirt would you like (sweatshirts are all unisex sizes)
Choose
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2XL
Adult 3XL (if available)
Please tell us about the friend you'd like to refer.
Name
*
Your answer
Your friend's email address
*
Your answer
*Referred friend must not have been a member in the past 60 days. Referrals must be outside your household.
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