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2023-2024 WFT Membership

* Name

* Street Address

* City, State, Zip

* Phone Number

Membership

$50.00

*E-mail

*First Name

*Last Name

Account

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Would you like to increase your donation to cover credit card fees. No fee for electronic checking

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