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(Non-USA residents, please phone the Office at (562) 981-9200)

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Member of the Committee of 300?    (Check if so.)

Comments or Special Requests (optional):

Method of Payment:
Credit Card ($2.00 Handling Fee per order Added) (We will call you for card information)
Check or Money Order  (Print this form and mail with check to C300 Office)
Will Call (Pay at door - cash or check only, please)
PayPal ($5.00 Handling Fee per order Added)