c/o Camden County Mosquito Commission
2311 Egg Harbor Road
Lindenwold, NJ 08021
INVOICE for Year 20__ (fill in year)
Dues Payment: Thirty ($30.00) per Member per Year
Name(s):
|
Total Number of Memberships |
_______ |
|
@ $30.00 ea. - Total Amount of Invoice |
_______ |
Make Checks or Voucher Payable to:
New Jersey Mosquito Control Association, Inc.
and send to the above address
* If you are the director of a mosquito control agency or business that pays
the dues of your employees, then this form may be used for all of them