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TLNA annual dues/donations
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Use this form to support TLNA by paying your annual dues ($5 per individual or $10 per household) or making a donation.
Name
*
Your answer
Street address
*
Your answer
Email address
*
Your answer
Phone
*
Your answer
Dues payment
$5 (individual)
$10 (household)
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Optional donation (indicate amount)
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Total payment (dues + donation)
*
Your answer
Payment method
*
PayPal or credit/debit card (use the Donate link to the right)
Check (see address to the right)
PayPal email address (if different from above address). This will allow us to match this form and your PayPal payment.
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Other information/comments
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