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area membership/initiation fee remittance

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AREA Membership/Initiation Fee Remittance Total fees payable to AREA as at: ___________________________________________________ Membership fee __________ @ $375.00 $______________ Membership fee (Lloydminster) __________ @ $187.50 $______________ Initiation fee __________ @ $400.00 $______________ GST payable (GST # 10669 4151 RT0001) @ 5% $______________ Total remittance $______________ Date_____________________________ Member Board _________________________________________ Authorized Signature

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Page 1: AREA Membership/Initiation Fee Remittance

   

 

AREA Membership/Initiation Fee Remittance 

   Total fees payable to AREA as at: ___________________________________________________   Membership fee  __________  @  $375.00  $______________ 

 

Membership fee (Lloydminster)  __________  @  $187.50  $______________ 

 

Initiation fee  __________  @  $400.00  $______________ 

 

GST payable          (GST # 10669 4151 RT0001)  @  5%  $______________ 

 

 

Total remittance  $______________ 

    Date _____________________________         Member Board   

      

_________________________________________   Authorized Signature 

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