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PAY DUES FOR 2021 BY FEB. 1

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 payment will be

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