Form C: NAASC Chapter Dues Transmittal
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Form C: NAASC Chapter Dues Transmittal
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Before you begin, please download to make a copy of this spreadsheet!
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Please complete the form in its entirety.
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Which Fiscal Year?
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Chapter Name: Region:
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Chapter Mailing Address:
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Chapter Email Address:
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Chapter Treasurer Name:
Treasurer Email:
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Chapter Financial Secretary:
Financial Secretary Email:
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Total Names Listed: 0Total Amount Transmitted: $0.00
Check Number:
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ALUMNAE INFORMATION
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Dues Type Amount First NameM.I.Last NameLast name while attending SpelmanClass YearAddressEmail AddressCityStateZipcodePhone
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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TOTAL$0.00
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Acknowledgment
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Please enter the date check was deposited in the bank:*
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First and Last Name of individual completing the form:*
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I understand that selecting "Yes" constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document.*
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YesNo
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Be sure to retain copies for your Chapter Records.
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Email: treasurer@naasc.org or mail to:
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NAASC Attention: Treasurer
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PO Box 42828 Atlanta, GA 30311-0828
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