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St. Leonard’s Association Membership Form - 2025

First Name

Last Name

Mailing Address Line 1

Mailing Address Line 2

City

State

Zip Code

St. Leonard's Address (if different)

Mailing Address Address Line 1

Mailing Address Line 2

City

State

Zip Code

Secondary Email

Mobile

Secondary Mobile

Committee Interest?

Annual Membership 2025: $50.00

Membership

Pay online now

Membership Form

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Kindly complete all fields that apply to your type of residency as we are creating a new database and want it to be accurate. Also, please complete at least one email and one phone number so we can stay in touch. Thank you so much!

First Name

Last Name

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

St Leonard's Mailing Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Secondary Email

Would you like to be interested in serving on a committee?

Mobile

Secondary Mobile

Annual Membership for 2025

Price: $50.00

Payment method

Card Number

Expiration Date

Security Code

Card Holder Name

Pay by Check

Print Membership Form, complete and mail to:
St. Leonard's Association, 5 S. Dudley Avenue,
Ventnor NJ 08406