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$1,000 Lifetime (one
time dues payment)
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$500
Patron
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$100
Sponsor
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$40
Member ___ Individual ___ Household
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$25
Introductory (first year only) / Fixed income
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$10
Student ___
Please send me info on UNA
Student Alliances
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Please Print:
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NAME
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______________________________________________
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ADDRESS
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______________________________________________
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CITY
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_________________________________STATE _____
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ZIP CODE
__________
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PHONE(S)
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DAYTIME
_____________________
EVENING
_____________________
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E-MAIL
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_______________________________________
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For more
information about UNA USA please visit: www.unausa.org
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