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Washington Staff Assault Task Force TM
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MEMBERSHIP APPLICATION

I hereby make application for membership in Washington Staff Assault Task Force (WSATF) and hereby authorize WSATF to make a monthly $12.00 recurring charge to my credit card attached with membership
into WSATF.

This authority will remain in effect until WSATF is notified by me in writing to cancel it in such time as to afford WSATF and Credit Card company a reasonable opportunity to act on it.

As a member of WSATF, I receive a Benefit in an issuance of a $10,000 Life Insurance Policy.

For more information, please review the WSATF Web site Legal Notice and Privacy Policy.

Please fill out the following information and press the Submit button.
(All blanks are required. The is a secure web page.)

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