2020 SCOA Membership Renewal

2020 SCOA Membership Renewal
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SCOA Federal Tax # 57-0743252. Fiscal Year January 1 - December 31.

Please Note: Dues are not deductible as a charitable expense but they may be deductible as a business expense according to the IRS. 30% of your dues were used for direct lobbying expenses and may not be deducted.
Member Name *

First Name Last Name
Practice Name *
Practice Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Members E-mail *
Comments
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