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Puget Sound Chapter, ASIS International #051

914 164^th St SE, Suite 120

Mill Creek WA 98012

December 2011 to December 2012

AMOUNT DUE

$35.00

Member Name: ________________________________ ASIS #: _______________

Street Address: _______________________________________________

City: ___________________________ State: _______ Zip: ___________

Thank you for supporting your local ASIS Chapter!

If you have already paid your dues online or in person, thank you and please discard this notice.

PLEASE RETAIN THE ABOVE COPY FOR YOUR RECORDS.

PLEASE REMOVE BELOW THE DOTTED LINE AND REMIT TO ADDRESS BELOW.

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Puget Sound chapter, ASIS International #051

914 164^th St SE, Suite 120

Mill Creek WA 98012

December 2011 to December 2012

AMOUNT DUE

$35.00

Member Name: ________________________________ ASIS #: _______________

Street Address: _______________________________________________

City: ___________________________ State: _______ Zip: ___________