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VIRGINIA JAYCEES
LIFE MEMBER ASSOCIATION

DUES PAYMENT FORM
PLEASE PRINT

Name_________________________________    Date_____________________

Address_______________________________     LMA Number_____________

            _______________________________     Spouse__________________

Phone (Home)__________________________      Local Chapter_____________

          (Work)__________________________      Region___________________

E-MAIL Address__________________________________________________

MEMBERSHIP DUES    (circle one)

Regular---$25.00              Sustaining---$35.00

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VIRGINIA JAYCEES
LIFE MEMBER ASSOCIATION
DUES
The LMA dues year is from June 1 to May 31.

The LMA provides for two types of dues. Regular dues are $25.00 and allow you to vote, run for office, conduct the associations business and receive all issues of the newsletter.  Sustainng dues are $35.00. The additional $10.00 goes to the general fund and provides the LMA with an additional  source of income for unforseen expences. Payment of sustaining dues entitles you to all benefits of a regular membership. In addition your name will be published in the newsletter as a sustaining member.