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all information below and submit, along with $20.00
annual dues ($10.00 for students) to Tim Ryan, FSMD;
CFFA Treasurer, c/o Betty J’s Florist – 6 S. Bluford
Avenue, Ocoee, FL 34761 Name __________________________________________________________
Shop/Affiliation ___________________________________________________
Position/Title ____________________________________________________
Address ________________________________________________________
City ___________________________________ State
_______ Zip _________ Mailing address __________________________________________________
City __________________________________ State
________ Zip _________ Birth date (month
and day) ____________________ Daytime Phone
Number __________________________ Fax
Number ____________________________________
Email Address ___________________________________________________
Website Address ________________________________________________
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