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AREA 56 GROUP INFORMATION and CONTRIBUTION
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* Indicates required question
Email
*
Your email
Group Name
*
Your answer
Group Number
Please include all leading zeros
Your answer
Contribution amount - US$
*
Please add 50 cents to your contribution to cover our transaction fee. See the next box.
Note:
A 2% convenience fee will be applied to your contribution.
Enter contribution amount on this line. Do not use a "$"
Your answer
Add Transaction fee - US$
*
$.50
Treasurer First Name
Your answer
Treasurer Last Name
Your answer
Treasurer email address
*
Your answer
Treasurer Phone Number
*
Your answer
Treasurer street address
Your answer
Treasurer City
Your answer
Treasurer State
Choose
OH
KY
IN
Other
Treasurer Zip code
Your answer
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