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201112 MEMBERSHIP APPLICATION Davis×Utah×National Education Associations Please return this form to your Association Representative or send to: DEA Membership, PO Box 500, Farmington, UT 84025 SOCIAL
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Individuals who wish to join or renew their membership for the 2011-12 period.
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12 membership form 2-1 is a form used to report information about memberships.
Organizations or individuals who have memberships that need to be reported.
Fill out the form with accurate information about the memberships.
The purpose of the form is to report memberships for tax or regulatory purposes.
Information such as member names, membership numbers, dues paid, etc.
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