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4 452 8561 www.bcfymca.org TYPE: The YMCA is committed to serving people of all ages, races, and economic levels. By answering all questions, you will help us meet this goal. The information is confidential and will not be used for any other purposes. PLEASE PRINT LEGIBLY. PAY-PLAN: Annual (one payment/year) Monthly (automatic checking, savings, or credit card drafts) MEMBERSHIP TYPE: Youth Individual / Adult Family College PRIMARY MEMBER S INFORMA.

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