SPOA Membership and Donation Online Processing Form  
               
    Annual dues are $60, which includes a one-year subscription to our informative newsletter (8 issues). Donations over and above the annual dues are needed and greatly appreciated. Each time you donate at least $60, your membership is renewed for a year. When you complete your online membership and donation, you will receive a confirmation email shortly thereafter.    
             
  Payment Amount: $      
             
  Name: last   first    
  Billing Address: street      
    city      
    state   zip    
             
  Billing Phone Number:        
  Email Address:        
  Credit Card Type:        
  Credit Card Number:        
  Expiration Date: month  

year

     

Yes, please send me information on SPOA's group 
        discount property insurance program (Massachusetts only).
             
              
  * All information submitted is kept strictly confidential
             

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