Receipt - LP Missouri Membership - Mr David Moore
David,THANK YOU for your donation and generous support of the Libertarian Party of Missouri. =========================================================== Membership Fee =========================================================== Item Fee Membership Start Date Membership End Date -------------------------------------------------------------------------------------------------- Membership - Voting Member $100.00 May 23rd, 2024 May 22nd, 2025 Pay Processing Fee (3%) - 3% $3.00 -------------------------------------------------------------------------------------------------- Amount: $103.00 Date: May 23rd, 2024 11:49 AM Transaction #: ch_3PJepQ2dTdpFHV161oIWUMjc =========================================================== Registered Email =========================================================== dtm at moore.com =========================================================== Personal Information =========================================================== Legal First Name: David Last Name: Moore Email: dtm at moore.com Phone: (417) 839-1900 Street Address: 925 SAINT ANDREWS CIR Apt / Unit: City: SPRINGFIELD State: MO What issue or issues most concern you?: Email : No Text: Yes Mail: No Do you want to volunteer?: Yes Comments: =========================================================== Employment Information =========================================================== Employer: Self Employed Occupation: Self employed
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