Membership Year: September 1st through August 31st
Membership Dues: $75.00

My $75 membership dues will be paid by:


(see below) (please contact me)

  * = required fields
*Last Name:
*First Name:
 Company Name:
 Type of Business:
 Position:
 Company Address:
 City:
 State:
 Zip:
 Company Phone:
 Company Fax:

*Home Address:
*Home City:
*Home State:
*Home Zip:
*Home Phone:
  Cell Phone:

*Email:

Preferred Mailing Address
Company: Home:




If you are paying by check, it should be made payable to and mailed to:
THE UNDERFASHION CLUB, INC.
326 Field Road
Clinton Corners, NY 12514

pink bra


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