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2013 Membership Dues

Description	Amount	Quantity	Subtotal

Couple Membership (of the same household)	$100.00		$0.00



Individual Membership	$50.00		$0.00

Gift to the Annual Fund (100% tax deductible):

$25.00$50.00$100.00$200.00$500.00

I would like my donation to recur:

Yes

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Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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<<	<	June 2017	>	<<

June 2017
	S	M	T	W	T	F	S
22	28	29	30	31	1	2	3
23	4	5	6	7	8	9	10
24	11	12	13	14	15	16	17
25	18	19	20	21	22	23	24
26	25	26	27	28	29	30	1
27	2	3	4	5	6	7	8

Please confirm recurring donation:

Total:

$0.00

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