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SOCIETY OF VIRGINIA 2012 DUES
Dues Are Due
Dues for 2012 are due. A form for submitting the dues is below. Please remit the dues to Gail Sullivan, 5010 Devin Green Lane, Fairfax, VA 22030.
PRINT FIRST & LAST NAME _________________________________________________
ADDRESS: Street_____________________________________Apartment_______ ___
City_____________________________State _____Zip Code____________
TELEPHONE ___________________________ ____
E-MAIL _____________________________________________________
DUES ENCLOSED
$ _____________ Family Membership ($25.00)
$ _____________ Single Membership ($15.00)
MAIL TO: The Society of Virginia Membership Director
c/o Gail Sullivan
5010 Devin Green Lane
Fairfax, VA 22030
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