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in 2011

As a member of SEA-PAC, you have the power to protect your future.

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Select Your Monthly Contribution

Use the online form below, or you can print out this form and mail it to us - whichever you prefer.


$4.25 Monthly=$50 Club Level, yearly
$8.50 Monthly=$100 Club Level, yearly
$12.50 Monthly=$150 Club Level, yearly
$17.00 Monthly=$200 Club Level, yearly
$21.00 Monthly=$250 Club Level, yearly
$30.00 Monthly=$350 Club Level, yearly
$37.50 Monthly=$450 Club Level, yearly
$42.00 Monthly=$500 Club Level, yearly

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NOTE: All recurring charges will occur on the 1st of each month. There are no refunds on recurring contributions. Recurring SEA-PAC contributions may be canceled at any time with one month's notice IN WRITING to: SEA-PAC, 110 N. Jackson Street, Suite 200, Montgomery, AL 36104

Credit Card Information - *All Fields are required

First Name: * Last Name:*

Billing Address: *

City: * State: * Zip: *

Phone Number with Area Code: *

Email Address: *

Credit Card Type: *

Credit Card Number: * Expiration: /*

CVV2 Code: *



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