Support Group Affiliation/Dues Payment

 

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Payment of the Annual Affiliation Fee as determined each year by the UOAA Management Board of Directors. The Annual Affiliation Fee rate is $3.00 per member and the Minimum Affiliation Fee is $36.00/year. 

 


 

Gift Information

Donation Amount*
  • $36.00
  • Other $

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
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*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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