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1

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$155.25

1

Club Membership – Yearly Plan

Club Membership – Yearly Plan × 1

$150.00 / year

$150.00 / year

-

+

$150.00

Subtotal	$150.00
Card processing Fee	$5.25
Total	$155.25

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Last name *

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Street address *

Add Apartment, suite, unit, etc.

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Order summary

1

Club Membership – Yearly Plan

Club Membership – Yearly Plan× 1

$150.00 / year

$150.00 / year

$150.00

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Subtotal	$150.00
Card processing Fee	$5.25
Total	$155.25

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