Membership Renewal Confirmation

Thank you for your renewal and payment of your dues online. A receipt has been emailed to you as well as other emails concerning your membership. The details of your renewal are:

Name: {Name (First):1.3} {Name (Last):1.6}
Street Address: {Address (Street Address):3.1}
City, State ZIP: {Address (City):3.3}, {Address (State / Province):3.4} {Address (ZIP / Postal Code):3.5}
Email Address: {Email:4}
Phone: {Phone:5}
Cell: {Cell Phone:6}
Membership Level: {Type of membership (and minimum annual dues donation):10}{Type of Membership (and minimum one-time dues donation):30}
Dues paid amount: {Total:22}