The Champ Kevin Smyth Fan Club
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Membership includes:

8x10 b/w Autographed Photo
10% Discount on All Kevin Smyth Merchandise
The Champ Kevin Smyth Fan Club Certificate
Membership Wallet Card

Membership Fee: $15.00 USA includes postage
$25.00 International includes postage
Please send check or money order payable to Kevin Smyth

Print this membership form and mail with your payment to:

Kevin Smyth Fan Club
ATTN: Membership
PO Box 464
Glens Falls, NY 12801

Please allow 3-4 weeks for USA delivery.
Please allow 6-10 weeks for International delivery.

PRINTER-FRIENDLY MEMBERSHIP FORM

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