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Mass Card options
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Occasion |
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Enrollment type
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Individual $30.00 (one person on the certificate)
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| Or |
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Family $40.00 (if you wish to enroll an entire Family or multiple persons listed by names, write the Family or individuals' names here -all on one certificate) |
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Requested by: (your name as it is to appear on the certificate)
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Mail To: If you wish us to send this certificate to an address different than the billing address, mark this check box and provide address below:
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Special Instructions (optional - will not appear on the Mass Card certificate)
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To add new enrollment fill out the form above and press Enroll
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