Membership Invoice

Invoice - Purchase Order

To receive an invoice for payment by check, etc., please complete all questions.
Member Name*

First NameLast Name
Your School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Member E-mail*
example@example.edu
Cellular Number
Office Number*
Membership Type
prevnext( X )
1 Year MembershipCost for each additional member from the same institution.
$50.00 Quantity
Item subtotal:$0.00

Total

$0.00
List additional member names, separated by commas. Ex: Kristen Weidler, Scott Driscoll, Jorge Espinoza.
Please list additional member email addresses in the same order as F and L Name fields above, separated by commas. Ex: kweidler@ucsd.edu, sdriscoll@ucsd.edu, jespinoza@ucsd.edu.
Ex: name@school.edu
Mailing Address*

Use the address above.I want to specify a different address for the invoice.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Signature*

MonthDayYear
Date
Signature

Clear
If mailing a check, please include a copy of the invoice, and mail your check to:

ARMCUMS, Inc.
Becky Goldsmith, Treasurer
539 Canyon Springs Rd
Prescott AZ 86303-4119

Once we receive your check, we'll email you with the membership information, including the NACUMS Discount code, for this year.

Please do not hesitate to reach out with any questions. info@armcums.org or treasurer@armcums.org.

Thank you for your support of ARMCUMS.
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Invoice - Purchase Order