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PLC:

a0053f

Agency:

pascua yaqui tribe

For:

enhanced tribal card training sessions

Phone:

949-292-4738

Address:

7777 south camino huivism
tuscon, arizona 85757

*Required Field

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Individual payments must be received per registered attendee. Please note the event selection drop downs, only Tribes who have signed the Memorandum of Agreements are permitted to attend the 10th Annual Training

*Attendee Name:

Middle:

*Last:

*Tribe:

*Event Title:

*Payee E-mail Address:

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Payment Amount :

Subtotal:

$0.00

Total:

$0.00

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Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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