MCLA 2019-20 District Leadership Team Membership
Use this form to pay a discounted membership fee for a team of 5.
District/organization *
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Billing Address *
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Payment Options *
Purchase Order Number
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Team Member #1 Name *
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Position *
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Email Address *
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Team Member #2 Name *
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Position *
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Email Address *
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Team Member #3 Name *
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Position *
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Email Address *
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Team Member #4 Name *
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Position *
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Email Address *
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Team Member #5 Name *
Your answer
Position *
Your answer
Email Address *
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