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 The 1904 World's Fair Society


1. Fill in the information below and then print off the form (page).

2. Mail this form and a check payable to the 1904 World's Fair Society in the amount indicated below to:

NOTE:  For membership rates outside of the United States, please contact us for specific rates due to increased mailing costs.

1904 World's Fair Society
2605 Causeway.
St.  Louis, MO. 63125

Name(s):
Address:

City/State/Zip:
Phone:
Email Address:
$25.00 per address - Calendar year membership if joining between January 1 and June 30
$35.00 per address - For NEW members joining after July 1. Dues will cover the remainder of the
                                                                               current year, plus the following calendar year
Your Total:  
 
Do you have a specific interest in the Fair? If so, please describe it.
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