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Payments

Please use the form below to make payments for any of the following:

Membership Fees
Clay Shoot Sponsorship
Donation
Luncheon Dues
Badge Replacement

**Station Sponsorships can be purchased for our clay shoot to help support the SWCA scholarship fund. You may purchase a station to sponsor for $250.00. To charge this amount to your credit card, please complete the form below, indicating that it is for a Station Sponsor and giving the correct company name for the signs.

SWCA thanks you for your payment!

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Name and Contact Information

Company:
Prefix:
Title:
* First Name:
* Last Name:
Suffix:
* Address:
Address 2:
* City:
* State:
* Zip:
* Email:
* Phone:
Cell Phone:

Payment Information ( Same as above address )

* Name as Listed on Credit Card:
* Billing Address:
Billing Address 2:
* Billing City:
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* Zip:
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* CC Expiration:
mm: yyyy:
* CCV2:

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