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Auxiliary

Membership

Your dues, along with the proceeds from the St. Vincent's Medical Center Seton Shop and other fundraisers, make a big difference in the lives of many patients and their families. Just by belonging, you are helping! With your membership, you will receive the Auxiliary Newsletter with updates on current projects and invitations to all Auxiliary events.


PRINT-ONLY FORM! Please print and complete the following form, enclose it with your check made payable to St. Vincent's Auxiliary.

St. Vincent's Auxiliary Annual Membership Form
October 2005 - October 2006

Annual Individual Membership $25
Sustaining Membership $50
Life Membership $250
   
I am interested in helping with a project or committee. Please call me.  
   
Name(s) __________________________________
__________________________________________
Address ___________________________________
City ______________________________________
State ____ Zip _____________________________
Telephone _________________________________
Cell ______________________________________
Email _____________________________________
 

Please send this page and a check payable to St. Vincent's Auxiliary to:

St. Vincent's Auxiliary
St. Vincent's Medical Center
2800 Main Street
Bridgeport, CT 06606

Thank you!

Three Women Two Children

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