If you are on the waiting list, you can pay your reaffirmation fees using the form below. Note that paying the fees online includes a processing fee of $4.

Name *

First

Last

Member Number *

Email *

Address

Address Line 1

Address Line 2

City

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Zip Code

Phone *

Fees *

• Reaffirmation Fee + $4 Service Charge – $ 29.00

Payment Info *

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