SERVICE MEMBERSHIP INVOICE

_______  $100.00 Per Calendar Year

Service Name : ______________________________________________________________________

Address :___________________________________________________________________________

City, State, Zip:______________________________________________________________________

A service membership entitles a service to enroll fifteen employees for free.

Additional employees may be added for $15.00 per person

Check or Money Order MUST Accompany This Invoice

WWW.kemta.org

Please attach individual membership forms for each employee.

THANK YOU!!


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