Allied Membership Application


 

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I would like to include a donation to support HPCANYS Advocacy, Education and Community Outreach programs and services in the amount of $

Click here to review Allied Membership options
Associate (details...) $300
Patron (details...) $600
Supporter (details...) $1000
Membership Fee
Donation Amount
Total Due

In compliance with the Omnibus Budget Reconciliation Act of 1993, 5% of your membership dues are used for lobbying purposes. This amount in not deductible as a business expense.




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