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Leadership Link #517 Membership Application

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  2. Membership Application - Leadership Link #517
    Please fill out the following fields and submit form when completed. Thank you!
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  4. Dues are $72.00 per year can be paid through a $6.00 per month payroll deduction.
  5. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  6. If you have any questions, feel free to contact Mike Comstock at 402-440-1746 or MComstock@lincoln.ne.gov.
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  8. This field is not part of the form submission.