Pay Dues

All dues payments

INSTRUCTIONS:

All pertinent information must be filled in. Two names maybe submitted for two people at the same address. This will be sent to Harry Skinner and Art Plant.

Fill in this form if paying by PayPal, credit card or by check.

RSNV Member Information must be filled in before selecting "Submit" button.
When ready, select "Submit" button, Option A or B.

The preferable method of payment is using PayPal. You may use your PayPal Account or Credit Card. If you must pay by check, send the appropriate amount and memo stating names and RSNV #'s, to
Dave Simmons, 986 Livingston Loop, The Villages, FL 32162

Name 1 *

First

Last

RSNV 1 # *

Email 1 *

Name 2 *

First

Last

RSNV 2 # *

Email 2 *

Address in The Villages *

Zip in The Villages *

What Village *

Villages Phone Number *

Cell Phone Number *

Choose One *

Option 1, Full time in The Villages Option 2, Part time in The Villages

If part time what months in The Villages (Example:1,2,3,4,5,6,etc) *

Member 1, Home Town & State *

Member 2, Home Town & State *

Comment *

Submit

READ THIS BEFORE ORDERING On payment page don't forget to fill in the Instructions to merchant Select "ADD" with your NAME1, RSNV1 #, NAME2, RSNV2 #

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Option A: Dues for 2 Associate Members at Same Address ($12.50 each for year 2012)
(On payment page quantity 1 is for 2 associate members at same address)

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Option B: Dues for Single Associate Member ($15.00 for year 2012)

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