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Dues Hardship Waiver Request
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First and Last Name
*
Your answer
Six-digit Customer ID
Your answer
Organization Name
Your answer
Mailing Address
*
Your answer
City, State, Zipcode
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Your answer
Email
*
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Daytime Phone
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Your answer
Please briefly describe the nature or cause of your hardship, the current duration of the hardship and anticipated end, if known, and any other specifics pertinent to your hardship request.
*
Your answer
AAFCS Membership Dues in the amount of $
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Your answer
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