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S: Phone 1: Phone 2: Email 1: Email 2: Mail this application and a check payable to Appalachian Telemark Association to: Appalachian Telemark Association c/o Jim Kapp 4448 Gateway Drive, Monroeville, PA 15146 Membership Renewal deadline is December 31, 2014 NOTE: ATA now accepts payments via PayPal. Send dues to Appalachian.Telemark gmail.com. Be sure to include your name and the reason for payment (2015 Dues) in the comments field before sending money. Credit Card #: Exp. Date: CVC#:.
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