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Member Name: Last First Membership Number Membership Renewal Type (select one) Individual $250 × 7% sales tax $$267.50 Senior $250 × 7% sales tax $$267.50 Family $360 × 7% sales tax $$385.20 YearbyYear
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Write down the name of the payee - the person or entity that will receive the payment. This could be an individual's name, a company name, or an organization.
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