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Please complete the following:
All fields are REQUIRED for accurate processing of your membership.
Individual PAPA Membership Annual
Dues for calendar year:
2007 (1/1/07-12/31/07) = $40
2008 (1/1/08-12/31/08) = $40
2009 (1/1/09-12/31/09) = $40
QAL or QAC License #
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