User Portal - Milayna’s Magic Mailing Multiplier

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User Portal

APS 2024 Website Form

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Monthly Advertising and Donation Purchase*

Price:

Office Use Code

The referral office use code will be on the order form, or ask the member who referred you.

What would you like your username to be?*

All lowercase, no spaces.

Your Information

First Name*

Last Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Do you have an email address?*

Yes

No

Phone*

Email*

Set Up Your Payment Pipeline

This is how we can quickly send your donations directly to you. If you don't want to share this information, we understand and will mail you a monthly donation check.

Your Bank Account Number*

Your Bank Routing Number*

Terms of Use*

I agree to the terms of use.

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Admin?

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

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