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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

Date Invoice #


Member Information


PO Terms Due Date

 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 803 Fayetteville, TN 37334

 Credit Card payments may be faxed to :       931-438-0070 or PAY ONLINE at






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