Dues for ShowMe AAPC Chapter 2007 Membership Dues Invoice  Dues for the local AAPC Show-Me Chapter are due January 1, 2007 and are $30.00 per member.  If you are a corporate member, please submit this invoice to the responsible person and include a list of members that are to be included in payment.  Please make check payable to “Show-Me Chapter”.  Credit card payments accepted.   Please mail checks to:  AAPC Show-Me ChapterP.O. Box 7320Columbia, MO  65201 If you want your receipt mailed, please include your return address in the request below.  Otherwise, receipts will be returned at the next chapter meeting. If you have any questions or concerns, please contact Donna Epperly  at 573-882-2947.Thank you.     Receipt Request for 2007 Local AAPC Show-Me Chapter Dues   Name:       _______________________________________________________  Address:   ______________________________________________________ City: _________________________  State: _________   Zip: __________                                                                                             Amount Sent:                Date Sent:   ______________ Cash:  ­­­­­­­­­­­­­­­­­­­__________          Check:  __________          Credit Card:  __________  Member/s included in payment:    Credit Card Payment Information for Dues Total Dues Amount   $ ____________ Visa _______     Master card _______  Credit Card #_____________________________________ Expiration Date _____________   Card Holder Name _____________________________ Signature ________________________