Membership Application
From Dunham-Singletary Family Connections
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<emailform> | <emailform> | ||
{| | {| | ||
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| City: || <emailform city=40 /> | | City: || <emailform city=40 /> | ||
|- | |- | ||
− | | State: || <emailform state=40 /> | + | | State/Province: || <emailform state=40 /> |
|- | |- | ||
− | | Zip/Postal Code: || <emailform zip= | + | | Zip/Postal Code: || <emailform zip=40 /> |
|- | |- | ||
| Country: || <emailform country=40 /> | | Country: || <emailform country=40 /> | ||
− | |- | + | |- |
+ | | Phone Number : || <emailform phone=40 /> | ||
+ | |- | ||
| Email: || <emailform email=40 /> | | Email: || <emailform email=40 /> | ||
|- | |- | ||
| Website: || <emailform website=40 /> || (optional) | | Website: || <emailform website=40 /> || (optional) | ||
|- | |- | ||
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| Comments: | | Comments: | ||
| colspan="2" | <emailform comments=80x8 /> | | colspan="2" | <emailform comments=80x8 /> | ||
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|} | |} | ||
</emailform> | </emailform> | ||
+ | '''The annual membership fee is $25.00'''. After you click on "''Submit Application''" you will be prompted to click on a paypal "add to cart" button to complete your membership renewal. | ||
<emailform result> | <emailform result> | ||
Thanks for your registration. | Thanks for your registration. | ||
− | Your information has been | + | Your information has been transmitted; Please complete payment for membership via PayPal by clicking on the add to cart button. |
<html> | <html> | ||
− | <form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" | + | <form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" method="post"> |
− | + | ||
− | method="post"> | + | |
<input type="hidden" name="cmd" value="_s-xclick"> | <input type="hidden" name="cmd" value="_s-xclick"> | ||
<input type="hidden" name="hosted_button_id" value="W3D6A9HPVGPFL"> | <input type="hidden" name="hosted_button_id" value="W3D6A9HPVGPFL"> | ||
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height="1"> | height="1"> | ||
</form> | </form> | ||
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</html> | </html> | ||
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</emailform> | </emailform> |
Revision as of 12:38, 9 November 2012
The annual membership fee is $25.00. After you click on "Submit Application" you will be prompted to click on a paypal "add to cart" button to complete your membership renewal.