| Name: |
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| If not already provided, please
give the following details: |
| Address: |
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| E-mail address: |
Telephone: |
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Dues (circle your dues): |
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Single-membership dues: $45 |
Couple-membership dues: $60 |
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Donations |
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Singles |
Couples |
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Branch friend: $10 to $99 |
Branch friends: $20 to $149 |
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Branch contributor: $100 to $149 |
Branch Contributors: $150 to $249 |
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Branch patron: $150 and above |
Branch patrons: $250 and above |
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| Please indicate how you want
your contribution divided among the following: |
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Shakespeare Competition: |
$ |
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British Universities Summer School: |
$ |
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Tucson Branch's General Fund: |
$ |
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| Please make your check payable
to Tucson Branch, ESU, and mail to : |
|
James Shea, 1821 N. Saguaro Place, Tucson, AZ 85745 |
| Any questions, please contact Jim at (520)
743-3593 or by e-mail at jshea@cpdscpa.com |
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Click here for a copy of the form without the left margin to get a
more printable dues form. |
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THANK YOU, YOUR SUPPORT
IS VITAL TO OUR SUCCESS! |
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. . . They say, if money go before, all ways do be
open. |
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