General Payment Form

Name: *

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State *

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Comments:

Payment Information

Payment Purpose: *

Payment Amount: *

Payment Type: *

Visa

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Credit Card Number *

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In order to offset the cost of the credit card processing fees, members have the option of paying a 3% transaction fee. Please check the box below if you are willing to help AAEM offset the costs (optional).

Yes, please add the transaction fee.