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Membership Application

From Dunham-Singletary Family Connections
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Line 29: Line 29:
 
  Thanks for your registration.  
 
  Thanks for your registration.  
  
  Please complete your registration by clicking on the paypal pay now button.
+
  Please complete your registration by clicking on the add to cart button.
  
{| width="600px"
 
| '''Full Name:''' <emailform name /> <emailform name/><br />
 
'''Street Address:''' <emailform name /> <emailform street_address/><br />
 
'''City:''' <emailform name /> <emailform city/><br />
 
'''Zip/Postal Code:''' <emailform name /> <emailform zip/><br />
 
'''Country:''' <emailform name /> <emailform country/><br />
 
'''Email:''' <emailform name /> <emailform email/><br />
 
'''Website:''' <emailform name /> <emailform website/><br />
 
|}
 
  
 
<html>
 
<html>

Revision as of 21:04, 23 August 2012


Full Name:
Street Address:
City:
State:
Zip/Postal Code:
Country:
Email:
Website: (optional)
Comments:


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