LVHIMA Membership Application                                                                                          
                                                            JULY 1 2021 to JUNE 30 2022
                                                      Make check PAYABLE TO LVHIMA.  
                      Send to  Mary Beth McFadden  1422 Rosewood Lane Warrington PA 18976                                                                        
                                                    ACTIVE/ASSOCIATE  $20         STUDENT--FREE

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