Pay Your Membership Dues

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Pay Your Membership Dues:

Package Name	Amount	Quantity	Subtotal

Individual Membership Dues	$35.00		$0.00



Family (2+) Dues	$50.00		$0.00



Professional Dues (MD or RN)	$100.00		$0.00



Practice Group Dues	$250.00		$0.00

Donation Amount:

Total:

$0.00

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