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PAY DUES FOR 2021

DUES FOR 2021
First Name
Last Name
IF APPLICABLE, PLEASE NAME YOUR AUXILIARY (L'ESPRIT, C'EST L'AMOUR, LES ANGES). ALL OTHER AUXILIARIES ARE COLLECTING DUES BY CHECK.
Country
Address Line 1
City
State
Postal Code
Credit Card Information
Visa MasterCard American Express Discover

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

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