AEA Membership Payment Page

	GENERAL ASSOCIATION MEMBERSHIP
	WELCOME *TO THE* GENERAL MEMBERSHIP SIGN-UP PAGE *Please click on the button below* to make a payment using your debit or credit card through secure *Please allow up to 24 hours for payment transactions to be processed and completed!* *Thank you for your patience and cooperation!* Goods and services provided by American Employees Association (NV, United States) Sold by PayPal.Com, Inc. (Ohio, USA)
	Please enter the following information: E-mail: Password: Confirm Password:	[1] AEA-GM-SPS-000 AEA GENERAL MEMBERSHIP "Individual Employee Enrollment" *MONTHLY PAYMENT ...... ............ .. . ..... $ ~~120.00~~** = Per Year (WAIVED) $ ~~020.00~~ ~~= Processing~~ (WAIVED) .........-...... $ 005.00 = Admin. Fee $ 005.00 = TOTAL*
	GENERAL ASSOCIATION INDIVIDUAL MEMBERSHIP AGREEMENT I do hereby accept and agree to the terms and conditions as set forth under this AMERICAN EMPLOYEES ASSOCIATION to automatically charge/draft my membership contributions by Electronic Funds Transfer (EFT) from my bank or financial institution, credit or debit card, checking and/or savings accounts. This authority is to remain in effect until AMERICAN EMPLOYEES ASSOCIATION receives written notification from me revoking the authorization and membership. My account will be drafted each month on or about the effective date of my membership not to exceed the amount stated and agreed to above. I confirm that I am solely responsible for paying any bank or financial institution fees related to my EFT transactions. I declare under penalty of forfeit of membership and benefits that I am eligible under the governing rules of the organization and the information submitted herein is true and correct. I hereby acknowledge, understand and accept the association membership and pre-paid health plan fee schedule(s) and agree to pay in full all annual association and health plan contributions, trust, administration as well as any and all other applicable fees prior to commencement of any benefits under the terms and conditions of this agreement. By clicking on the subscribe and payment button above, I acknowledge and confirm I have read, understand and agree to the terms and conditions setforth under this agreement. If you need assistance, call 877.UNEMPLOYED (863-6756) or e-mail us at: aeabenefits@yahoo.com.	No PayPal account? No Problem! Pay using your credit or debit card * This is a 30 day limited-time special introductory offer! Prices, terms and conditions are subject to change without prior notice. Cancellation Click on the button below, to cancel this trial membership payment agreement at anytime.

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