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AREA Membership/Initiation Fee Remittance
Total fees payable to AREA as at: ___________________________________________________ Membership fee __________ @ $375.00 $______________
Membership fee (Lloydminster) __________ @ $187.50 $______________
Initiation fee __________ @ $400.00 $______________
GST payable (GST # 10669 4151 RT0001) @ 5% $______________
Total remittance $______________
Date _____________________________ Member Board
_________________________________________ Authorized Signature