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2. Using this UNA-USA MEMBERSHIP
FORM, via US mail
Please print out this page, fill out form and mail it to the
address at the bottom of the page
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UNA-USA MEMBERSHIP
FORM |
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| Title: |
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First Name: |
______________________ |
Middle Name: |
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| Spouse / Other |
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First Name: |
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expired)
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$1,000..............................................................................Lifetime
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$500.................................................................................Patron
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$100.................................................................................Sponsor
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$40...................................................................................Member
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$25...................................................................................Introductory
(First Year only)
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$25...................................................................................Fixed
Income
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$10...................................................................................Student
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Make check payable to UNA-USA
Mail completed form and check to:
UNA-USA Membership Services
801 Second Avenue
New York, NY 10017-4706
THANK YOU FOR YOUR
SUPPORT!
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Chapter USA-UNA,
UNA-USA graphics used with permission.
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