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Staff W-9 Form
First name
*
Last name
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Email
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Acknowledgement
I understand that failure to comply with this agreement and attachments to these agreements, may result in termination of my membership.
I understand that my membership fee must be paid by the schedule that was outlined above or have an approved Alternative Payment Contract completed.
I agree to pay my membership fee as outlined in the above agreement.
I plan to pay my membership fee using the following payment options
Option 1 - All Fees paid off in installments by October 20th
Option 2 - All Fees paid off in installments by November 17th
Option 3 - All Fees paid off in installments by March 9
Alternative Payment Contract Requested
Signature
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