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KAILUA LODGE 2230

Secure Payment Form

Order Date
BEFORE May 1st, enter number of members
enter donation amount @ $10 increments
enter donation amount @ $10 increments
enter donation amount @ $10 increments
enter donation amount @ $10 increments
enter donation amount @ $10 increments
enter donation amount @ $10 increments
enter number of members @ $50 each
enter number of members @ $200 each
enter number of members @ $30 each when transferring your Elks membership to or from Kailua Elks Lodge.
enter number of members @ $30 each in addtion to their unpaid annual membership dues.
$ AFTER April 30th, enter the annual dues prorated to April 1st. Otherwise Total Amount is computed for you.
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Member Name
Membership Number
Phone Number
Email Address
Notes
www.kailuaelks2230.org
For questions, please call at (808)262-0355

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