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Name: Address: Email: Phone: () Office/ Location: Complete and attach this form to your NFC EPP payroll allotment confirmation page, then fax to (202) 8008803 or email to membership Amanda.org.
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Begin by writing your full name in the designated field. Make sure to include your first name, middle name (if applicable), and last name.
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Next, enter your complete mailing address. This should include your street name and number, apartment or unit number (if applicable), city or town, state or province, and zip or postal code.
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Finally, enter your phone number. Include the country code if applicable, then the area code, and finally the local number. Make sure the number is functioning and accessible.
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