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HEIRS
HEIRS MEMBERSHIP DUES RENEWAL PAYMENT FORM
For payment by Paypal/Credit Card
MEMBERSHIP WILL BE UPDATED UPON RECEIPT OF YOUR PAYMENT & PROCESSING TIME
(Complete form and submit with payment)

Name:*
Address:*
City:*
State:*
Zip:*
Email:* (abc@def.com)
Phone No:*
Date:* (XX-XX-XXXX)
       
IF CLIENT, NAME OF LAND GRANT AND GROUP:
Land Grant : Group No :
       
NAMES OF HEIRS MEMBERS OR CLIENTS ALSO WITH THE ABOVE ADDRESS:
 
Name:
Name:
Name:
Name:
       
Note: HEIRS MEMBERS ANNUAL DUES - The time has come for payment by HEIRS members of their annual dues of $50.00 for 2014. Those who became HEIRS members within the past 4 months are asked to pay their 2014 dues by April 1, 2014. All other members' dues are due now.
Please make your payment by Paypal after submitting the form. Please be sure to reference the original grantee you descend from, and if a client of Ms. Fowler's, your group number, on your payment. If you have questions about your payment, you may contact Laura Bata (pronounced Bay tah) at 281-471-6630, or landgrant22@yahoo.com
       
By clicking "Submit", I hereby affirm that the information listed above is accurate to the best of my knowledge.
       
 
 
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