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Dues Invoice Template
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Alabama Veterinary Medical Association 
Committed to protecting people, pets and livestock - yesterday, today and always! 
Bill To
@@BILL_TO@@


Date Invoice #
@@INVOICE_DATE@@
@@INVOICE_NO@@

 

 @@ORGANIZATION_NAME@@        
Member Information
@@MEMBER_INFO@@

@@INVOICE_PAID_IMAGE@@
PO Terms Due Date
@@PO@@ @@INVOICE_TERMS@@
@@DUE

 Contribution to ALVMF $________ Contribution to PAC $________ Total Enclosed $________

 Please pay online and update any personal information. However, if mailing payment complete below.

 Check # ____________           (Checks must be payable to ALVMA in U.S. funds drawn on a U.S. Bank)

 Visa  _________  MasterCard ___________ Card Security Code _________  Exp. Date   ___________ 

 Signature _____________________________________ Name ________________________________

 Please return this form with payment to:     ALVMA P.O. Box 3514 Montgomery, AL 36109-3514

 Credit Card payments may be faxed to :       334-270-3399 or PAY ONLINE at  www.alvma.com

 

 

 

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