IRON WORKERS
LOCAL 401
Secure Payment Form
Order Summary
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Order Date
Type of Payment
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Member Dues
Permits
Classification
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$32.90 - Journeyman
$27.90 - Apprentice
$8.40 - Honorary
Type
$10.00 - Travel Dues
Number of Months
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1 Month
2 Months
3 Months
4 Month
5 Months
6 Months
7 Month
8 Months
9 Months
10 Month
11 Months
12 Months
Number of Weeks
Processing Fee
Total Amount
Member Number
Customer IP
Credit Card Information
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Billing Information
Company Name
First Name
Last Name
Address
Address 2
City
State
Zip
Country
Phone Number
Email Address
Submit
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