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CREDIT/DEBIT AUTHORIZATION FORM I, (Member Representative) of (Business Name) hereby authorize the Mount Vernon Chamber of Commerce to debit $ for the first month and $ EACH month thereafter, OR $
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i member representative is typically a person who represents the interests of a group or organization.
The person designated as the representative or responsible party of the group or organization is required to file i member representative of.
To fill out i member representative, you will need to provide information about the group or organization being represented and the responsibilities of the representative.
The purpose of i member representative is to ensure that the interests and needs of the group or organization are properly represented and communicated.
The information that must be reported on i member representative includes the name of the group or organization, contact information for the representative, and a description of their role.
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