| RECEIPT |
|
[RegistrationTradingname] |
Receipt Date |
| Qty | Description | Total |
| [RegistrationPax] | [ContentTitle] | $[ContentfeeAmount] |
| [MtypeName] | $[MtypeAnnualfee] | |
| Join Fee (if applicable) | $[MtypeJoinfee] | |
| [CouponCode] | $[CouponValue] | |
| Amount Paid | $[RegistrationFees] | |
|
[AssociationFullname] [AssociationPostal1] |
64835
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