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Essentials in
Chapter business
Autodraft Enrollment Form
Fill out this form to simplify membership payments!
Updated: 5/14/2004 12:04:00 PM
AUTODRAFT ENROLLMENT FORM
Please charge my membership dues on a pro-rated monthly basis to my:
1. Credit Card:
c MasterCard Account Number ___________________________________ EXPIRATION DATE ______
c Visa Account Number _________________________________________ EXPIRATION DATE ______
Name (print):____________________________________
_____ I am a new Society member
_____ I am a current Society member
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