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Deduction Form

(Deduction Form)

  1. Fill out your EIN and print your name across the top.
  2. Your going to put a capital “A” in the left column, for start, next to the (DUES – APA) coded  3139.
  3. The amount deducted is $13.00 unless you are contributing to the PAC. Then just add the amount of the dues to the PAC contribution and insert the new total in the deducted amount column.
  4. For the beginning date, the day you sign will be fine.
  5. If your dropping another association you can do that on this form as well. Just place a “D”, the amount they are deducting from you and then todays date as well.