DWCF 2023 Report of Club DuesIndicate the number of members as of date of payment.RegionClub NameClub EIN (If available)Date MM slash DD slash YYYY Club PresidentPhoneEmail Submitted ByPhoneEmail # of Active + LifetimeNumber of Active + Lifetime members at $10 each# of StudentsNumber of students at $5 eachTotal DuesAmount DueUpload Membership List Drop files here or Select filesAccepted file types: doc, docx, xls, xlsx, pdf, tif, tiff, jpg, gif, txt, Max. file size: 6 GB.Payment Method Pay Online CheckPlease submit dues and membership list no later than February 28, 2023. Early responses welcome. If paying by check, mail payment to: DWCF PBM #129 120 Palenia Village Drive, #C-105 St. Augustine, FL 32905If you would like a copy of your entries, print a copy or click Print and then save as a PDF BEFORE YOU PUSH SUBMIT.Finish and Pay You will be forwarded to the payment page when you click Submit.