0a zMEMBERIDIFIRSTNAMEC2LASTNAMEC72MEMBERTYPEIiWORKCOMPANCm2TITLEC2WORKADDRESMWORKCITYC2WORKSTATEOCWORKPOSTALCWORKCOUNTRC/2WORKPHONECaEXTENSIONCHOMEADDRESMHOMECITYC2HOMESTATEOCHOMEPOSTALCHOMECOUNTRC2HOMEPHONEC-DATEJOINEDTKFAXNUMBERCSINVOICEWORLqMEMBERDUESYr membership.dbc Karl Jablonski White Clover Markets Owner Seattle WA 98128 USA (206) 555-4112 Kirkland WA 98034 USA (204) 555-8257