One-Time Dues Payment

One-Time Dues Payment
Members paying via credit/debit card will be required to pay a “convenience fee”.

“Suspended” members are not permitted to pay via credit/debit. Please
contact Christine Copenhaver at 717-273-3600 (opt. 3, opt. 1) to assist with
“Suspended” member payments.
UBC Number*
Email Address*
example@example.com

Select one (prices include credit card convenience fee)*

3 months

$77.10

6 months

$153.87

12 months

$307.39

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country