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Information
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$
100
Active Member (Per Couple)
$
75
Active Member (Per Person)
$
50
Supporting Member
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First Name
Last Name
Email
Mailing Address
Phone number
Spouse's name (if couples' membership)
Spouse's email address
Spouse's phone number
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CARD
PAYPAL
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MM / YY
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The 3-4 digits on the back of your credit card
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