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TIPPECANOE COUNTY
EXTENSION HOMEMAKERS
Member of Indiana Extension Homemakers Association
20 N 3rd Street, Lafayette, IN 47901
Lafayette, IN 47905

Mail this form with $10 dues to:
Nancella Dobbins
3033 Greenbrier Avenue
West Lafayette, IN 47906
dobbinsnj@comcast.net
Make check payable to:
TCEHA

Mailbox Member Subscription
Enrollment Year July 2024—June 2025
(FOR USE BY CLUB AND COUNTY TREASURER ONLY)

The annual dues for Mailbox Membership are $10.00. To renew current
membership or to become a new member, please complete the section below and mail with payment by April 1st to the address above.
Questions? Call Nancella Dobbins at 765-463-1141

Today’s date:______________________________
Name: _____________________________________________________
Address: ___________________________________________________
___________________________________________________
Phone: ___________________¨ Home; ______________________¨ Cell
Email: _____________________________________________________
¨ I am a New Mailbox Member
¨ I am renewing my Mailbox Membership

Revised Jan 2024 nm