DWCF 2023 Report of Club Dues

Indicate the number of members as of date of payment.
MM slash DD slash YYYY
Number of Active + Lifetime members at $10 each
Number of students at $5 each
Amount Due

Drop files here or
Accepted file types: doc, docx, xls, xlsx, pdf, tif, tiff, jpg, gif, txt, Max. file size: 3 GB.
    Payment Method
    Please submit dues and membership list no later than February 28, 2023. Early responses welcome.

    If paying by check, mail payment to:

    PBM #129
    120 Palenia Village Drive, #C-105
    St. Augustine, FL 32905

    If 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.