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The V-State Club Membership

v state club membership benefits

Donation Information

Amount:

YOUNG ALUMNI (Available for ages 20-29 only)

$ 100.00

MATCH LEVEL

$ 250.00

TORCH LEVEL

$ 500.00

BONFIRE LEVEL

$ 1,000.00

Member Information

Title:

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First name:

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Last name:

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Country:

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Address lines:

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City:

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State:

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ZIP:

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Phone:

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Email:

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Payment Information

Cardholder's Name:

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Credit Card Number:

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Card Type:

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Card Expiration:

/

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Card Security Code:

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Additional Security

This is a security measure to help prevent fraud.