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1. I understand once I have submitted this application I will be directed to make a payment of $100 for dues, (due annually for the calendar year.)

2. I understand that: NARPM West Valley Chapter affiliates are not able to vote.

3. My application must be reviewed and approved by the Chapter Board of Directors and I agree to respect their decision, if my application is not approved, I am entitled to a refund of the dues payment that is required with this application.

4. I also affirm that all of the information listed on this application is true and accurate.

5. I have read and agree to the above statements.

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