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PAY BY CREDIT CARD

You can now pay your Professional Development Meeting Registration fee by credit card using our PayPal account. Complete the form below and click on Submit. A new page will automatically appear with complete credit card payment instructions.

* Name:		Member? Yes No	Student? Yes No
Membership ID #:
Company:	(If registering as a student, please enter School name here)
Job Title:	(If registering as a student, please enter STUDENT here)
Phone:
* Email:
Menu options:	Salmon Chicken Steamed Vegetable Plate Fruit Plate
Others in your party: Name: Member Yes No Student Yes No Name: Member Yes No Student Yes No Membership ID #: Membership ID #: Name: Member Yes No Student Yes No Name: Member Yes No Student Yes No Membership ID #: Membership ID #: Name: Member Yes No Student Yes No Name: Member Yes No Student Yes No Membership ID #: Membership ID #: Name: Member Yes No Student Yes No Name: Member Yes No Student Yes No Membership ID #: Membership ID #: Name: Member Yes No Student Yes No Name: Member Yes No Student Yes No Membership ID #: Membership ID #:

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