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PROVIDENCE ASA MEMBERSHIP FORM PLEASE ENROLL ME AS FOLLOWS: …..New .…Renewal …..Gift _____$20 Individual _____$200 Associate Life Time Member _____$28 Double _____$500 Life Time Member _____$10 Student Tax Deductible Gift to the ASA Scholarship Fund $_________ Please make checks payable to appropriate branch and mail with membership form ASA membership and donations are tax deductible
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