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McHenry County USB Association #81958
League Dues Worksheet 20122013
This form will help you determine the total amount of dues that should be collected and forwarded to the McHenry
County USB Association
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Indicate your date of birth, as well as your social security number for identification purposes.
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Specify your occupation or employment status, including the name of your employer if applicable.
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Enter details about your current banking relationships, such as the name of your current bank and your account number.
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Individuals who are opening a new bank account.
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