NAMD Alumni Network – Half-Year Dues Jan

Invoice Description
There are three ways for you to pay for your Alumni Dues. By credit card (which will be processed through Authorize.net below), by check or you may request an invoice. Please check which form of payment you will be using below. Questions? Contact alumni@medicaiddirectors.org *NAMD Alumni Network Annual per person member dues.*

I am paying by credit card payment and my information is belowI require an invoice to generate paymentI prefer to pay by check, and will make the check out and mail to the below address: NAMD 601 New Jersey Avenue, NW Suite 740 Washington, DC 20001
NAMD Alumni Network Mid-Year Member Dues (50% Discount compared to full-year Alumni Network Dues):

$400
(optional) Alumni generously underwrite expenses so NAMD can convene Medicaid Directors to learn and network.

$10,000$5,000$2,500$1,000Other
NAMD Alumni Network Annual per person member dues

$400
(optional) Alumni generously underwrite expenses so NAMD can convene Medicaid Directors to learn and network.

$10,000$5,000$2,500$1,000Other

Total DUE:

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

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State / Province

Postal / Zip Code

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NAMD Alumni Network – Half-Year Dues