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Arizona Deer Association

Payment Plan for Life Membership

Agreement

Click here to see the form for printing.

The Arizona Deer Association Life membership fee is $1000.  This amount can be paid over the course of one membership year (July 1 through June 30) based on the following payment schedule:

July 1   - $250

November 1 - $250

March 1 - $250

July 1 - $250

 Stipulations:

  1. Payments will be charged to the credit card number below, on the dates listed above.  Card must be in effect for the entire year of the payment plan.
  2. No Life member benefits accrue prior to the final payment.
  3. No refunds.
  4. If for any reason all payments are not made, the membership reverts to an annual membership, at $50/year for amounts paid.
  5. If paying by check, payments are due on or before the above dates.
  6. The association will not send invoices for the payments.

 

I understand and agree to the stipulations.

 

Signature_______________________________________  Date________________

 

Application for Life Membership Payment Plan

 

Name________________________________________________________________

Address______________________________________________________________

City________________________________State________ ZIP__________________

Wk Phone___________________________Hm Phone_________________________

Email________________________________________________________________

Visa/MasterCard #ญญญญญญญ______________________________________________________

Expiration Date_________________________________________________________

 

Keep a copy of this agreement for your records, and as a reminder when payments are due.

 

                

If you want more information about the ADA, contact:
John Koleszar, President
email John

 or contact our main office:
Arizona Deer Association

P.O. Box 21868
Mesa, AZ  85277

480-854-8950

 

 

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